By Michèle Leibowitch, Richard Staughton, Sallie Neill, Simon Barton, Roger Marwood
This very popular atlas has been revised and up-to-date, with 60 new color illustrations highlighting key scientific issues
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Extra resources for An Atlas of Vulval Diseases: A Combined Dermatological, Gynaecological and Venereological Approach
Creams spread on to alginate dressings applied to eroded surfaces and changed regularly may be more satisfactory. Systemic steroids are not often helpful, and correctly applied and carefully monitored Grade I topical corticosteroids are usually more successful.
Swabs should be taken as indicated to exclude secondary candidiasis. Topical corticosteroids, although not generally recommended for extensive plaque psoriasis elsewhere on the skin, are particularly useful in flexural areas. A moderately potent corticosteroid with or without the addition of coal tar solution is often employed. 5 6 7 Dithranol and calcipotriol both have a narrow irritant/therapeutic ratio. Irritation is potentiated at sites of natural occlusion, therefore these preparations should be avoided in the anogenital region.
These patients should be under the supervision of a specialist for such prescriptions to be considered. Some drugs exacerbate psoriasis, for example lithium succinate, chloroquine and beta-blockers. 48 Psoriasis affecting the labia and extending into the genitocrural folds. 49 Psoriasis of the labia majora. Note the crisp demarcation and, in this case, scaling. There are also typical plaques of psoriasis scattered on the inner thighs. 50 Psoriasis on the labia majora of a 24-year-old Asian woman.
An Atlas of Vulval Diseases: A Combined Dermatological, Gynaecological and Venereological Approach by Michèle Leibowitch, Richard Staughton, Sallie Neill, Simon Barton, Roger Marwood