Principles of diagnostics and therapy of anogenital pruritus in women
https://doi.org/10.33667/2078-5631-2019-2-26(401)-72-75
Abstract
Anogenital itching is a serious problem for most women at one or another period of life. The multifactorial nature of dermatoses with localization in the vulva and anus, the lack of knowledge of the pathophysiology of itching, in principle, determine the problem of itching in the genital area as a relevant medical problem. Conducting a rational differential diagnosis and the use of modern treatment that can quickly jugulate a symptom will at the present stage increase the effectiveness of specialized medical care for this category of patients.
About the Authors
Yu. N. Perlamutrov
Moscow State University of Medicine and Dentistry n. a. A. I. Evdokimov
Russian Federation
Russian Federation
Moscow
Т. V. Vаsilеnkо
Moscow State University of Medicine and Dentistry n. a. A. I. Evdokimov
Russian Federation
Russian Federation
Moscow
К. B. Olkhovskaia
Moscow State University of Medicine and Dentistry n. a. A. I. Evdokimov
Russian Federation
Russian Federation
Moscow
References
1. W.I. van der Meijden,1, M. J. Boffa, W.A. ter Harmsel, G. Kirtschig,4 F. M. Lewis,5 M. Moyal-Barracco,6 G. S. Tiplica,7 J. Sherrard8 European guideline for the management of vulval conditions JEADV 2017, p. 1–17
2. Twycross R, Greaves MW, Handwerker H, et al. Itch: scratching more than the surface. QJM. 2003; 96: 7–26.
3. Stander S, Weisshaar E, Mettang T, et al. Clinical classification of itch: a position paper of the International Forum for the Study of Itch. Acta Derm Venereol. 2007; 87: 291–94.
4. Siddiqi S, Vijay V, Ward M, Mahendran R, Warren S. Pruritus ani. Ann R Coll Surs Engl. 2008; 90: 457–63.
5. Torgesson RR, Edwards L. Disease and disorders of the female genitalia. Fitzpatrick’s dermatology in general medicine. 7th edition. New York: McGrawHill Medical; 2008.
6. Bauer A, Rodiger C, Greif C et al. Vulvar dermatoses-irritant and allergic contact dermatitis of the vulva. Derm 2005; 210: 143.
7. Weichert GE. An approach to the treatment of anogenital pruritus. Dermatol Ther. 2004; 17: 129–33.
8. Gach JE, Seddon FH. Gluten-sensitive enteropathy associated with genital lichen simplex chronicus. J R Soc Med Sh Rep. 2010; 1: 43.
9. Cohen AD, Vander T, Medvendovsky E, Biton A, Naimer S, Shaley R, et al. Neuropathic scrotal pruritus: anogenital pruritus is a symptom of lumbosacral radiculopathy. J A Acad Dermatol. 2005; 52 (1): 61–66.
10. Stewart KM. Clinical care of vulvar pruritus, with emphasis on one common cause, lichen simplex chronicus. Dermatol Clin 2010; 28: 669–80.
11. Potenzieri C, Undem BJ. Basic mechanisms of itch. Clin Exp Allergy. 2012; 42 (1): 8–19.
12. Катина М. А. Кожный зуд. Учебно-методическое пособие, Витебск: ВГМУ. 2014. С. 5–7.
13. Arican O. Pathophysiology, clinical presentation and management of pruritus // Turkderm-Archives of the Turkish Dermatology and Venereology. 2005. Vol. 39. P. 88–97.
14. Van Os-Medendorp H., Elandde Kok P., Grypdonck M. et al. Prevalence and predictors of psychosocial morbidity in patients with chronic pruritic skin // Journal of European Academy of Dermatology and Venereology. 2006. Vol. 20. P. 810–817.
15. Lynch PJ. Lichen simplex chronicus (atopic/ neurodermatitis) of the anogenital region. Dermatol Ther. 2004; 17 (1): 8–19.
16. Lysy J, Sisstiery-Ittah M, Shmueli A, Strauss-Liviatan N, Mindrul V, Keret, Goldin E. Topical capsaicin — a novel and effective treatment for idiopathic intractable pruritus ani: a randomized, placebo controlled, crossover study. Gut. 2003; 52 (9): 1323–26.
17. Sonnex C. Genital allergy. Sex Transm Infect 2004; 80: 4–8.
18. Elmariah SB, Lerner EA. Topical therapy for pruritus. Semin Cutan Med Surg. 2011; 30 (2): 118–26.
19. Biro Т., Ko М. С., Bromm B. et al. How best to fight that nasty itch — from new insights into the neuroimmunological, neuroendocrine, and neurophysiological bases of pruritus to novel therapeutic approaches // Experimental Dermatolology. 2005. Vol. 14 (3). P. 225–240.
20. Перламутров Ю. Н. Ольховская К. Б. Ляпон А. О. Антигистаминные препараты в дерматологической практике. Клиническая дерматология и венерология 2018. № 2. С. 62–69.
21. Stewart KM. Clinical care of vulvar pruritus, with an emphasis on one common cause, lichen simplex chronicus. Dermatol Clin. 2010; 28 (4): 669–80.
Review
For citations:
Perlamutrov Yu.N., Vаsilеnkо Т.V., Olkhovskaia К.B. Principles of diagnostics and therapy of anogenital pruritus in women. Medical alphabet. 2019;2(26):72-75. (In Russ.) https://doi.org/10.33667/2078-5631-2019-2-26(401)-72-75
Views:
586
Email this article 