Vulvar dermatoses: A cross-sectional study of etiology, dermoscopic findings, and impact on the quality of life.

Abstract

Context: Vulvar dermatoses include a broad spectrum of inflammatory, infectious, pigmentary, and vascular entities presenting a diagnostic challenge with a significant impact on quality of life (QoL). Dermatoscopy has now become an integral part of the dermatologist's armamentarium. It serves as a useful noninvasive adjunct to clinical examination.

Aims: The aim of the study is to study the clinical, demographic, and dermoscopic features of common vulvar dermatoses.

Materials and methods: A cross-sectional descriptive study was conducted in 100 patients attending the Dermatology, Venerology and Leprosy Out patient Department (DVL OP) with vulvar lesions. For the dermoscopic assessment Dermlite 4, USA dermoscope was used and the pictures were recorded on a smartphone. Vulvar disease QoL index is used to evaluate the QoL at the time of diagnosis.

Statistical analysis used: SPSS software was used for the statistical analysis. P <0.05 was considered statistically significant.

Results: A total of 100 females were diagnosed with vulvar dermatoses with age ranging from 5 years to 70 years. Majority of the females belonged to the age group of 31-40 years with a mean age of 36.9 years. Among 100 patients, 76% (n = 76) were married. Infections (73%) constituted the most common etiology of vulvar dermatoses. Mild-to-moderate impairment is QoL.

Conclusions: This study highlights the importance of enhancing awareness, promoting hygiene education, and incorporating dermoscopy in vulvar dermatology to optimize patient outcomes. We reiterate the impact of vulvar dermatoses on the QoL of the patients.