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Vulvar dermatitis
Guidelines
Key sources
The following summarized guidelines for the evaluation and management of vulvar dermatitis are prepared by our editorial team based on guidelines from the European Academy of Dermatology and Venereology (EADV 2017).
1
Diagnostic investigations
Diagnostic procedures
Medical management
Topical corticosteroids
As per EADV 2017 guidelines:
Consider offering a topical corticosteroid in patients with vulvar dermatitis, such as:
hydrocortisone 1% ointment for mild cases
mometasone furoate or betamethasone valerate 0.025% ointment for severe cases
C
Apply topical corticosteroids once daily for 7-10 days until the symptoms and signs settle, and then as needed for any recurrent symptoms.
B
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Antihistamines
Calcineurin inhibitors
Management of co-occurring infections
Nonpharmacologic interventions
Avoidance of irritants and allergens: as per EADV 2017 guidelines, advise avoiding irritants and possible allergens, such as cleansers, fragrances and wet wipes in patients with vulvar dermatitis.
B
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Emollients