| Managing vulvar lichen sclerosus in U.K. genitourinary medicine clinics. | |
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MedLine Citation:
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PMID: 9839265 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: To survey genitourinary physicians in the United Kingdom on their approaches to the management of vulvar lichen sclerosus. STUDY DESIGN: Questionnaire survey of United Kingdom genitourinary consultants. RESULTS: Seventy-one percent of genitourinary physicians biopsy vulvar lichen sclerosus. For treatment, 78% of clinicians use a high-grade topical corticosteroid, such as 0.05% clobetasol propionate. Topical sex steroids are used by a minority of clinicians. Cases are followed by 80% of respondents. Having made the diagnosis of this condition, 30% of respondents refer the case to either a dermatologist or gynecologist for further management. Fifty-two percent refer only after treatment failure. CONCLUSION: Genitourinary physicians in the United Kingdom see and manage cases of vulvar lichen sclerosus in genitourinary medicine clinics. However, a majority of clinicians refer these cases at some stage. A coordinated and multispecialty approach between genitourinary physicians, dermatologists and gynecologists would provide coherent management of vulvar lichen sclerosus. |
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Authors:
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R R Jarvis; J Yell; B P Goorney |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: The Journal of reproductive medicine Volume: 43 ISSN: 0024-7758 ISO Abbreviation: J Reprod Med Publication Date: 1998 Nov |
Date Detail:
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Created Date: 1999-02-08 Completed Date: 1999-02-08 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 0173343 Medline TA: J Reprod Med Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 963-6 Citation Subset: IM |
Affiliation:
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Department of Genitourinary Medicine, Hope Hospital, Salford, U.K. rani.jarvis@btinternet.com |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Administration, Topical Ambulatory Care / methods* Anti-Inflammatory Agents / therapeutic use Estrogens / therapeutic use Female Glucocorticoids Great Britain Humans Lichen Sclerosus et Atrophicus / drug therapy*, pathology Physician's Practice Patterns / statistics & numerical data Questionnaires Referral and Consultation Testosterone / therapeutic use Vulvar Diseases / drug therapy*, pathology |
| Chemical | |
Reg. No./Substance:
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0/Anti-Inflammatory Agents; 0/Estrogens; 0/Glucocorticoids; 58-22-0/Testosterone |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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