The cutaneous-vulvar clinic revisited: a 5-year experience of the Columbia Presbyterian Medical Center Cutaneous-Vulvar Service.
OBJECTIVE
To review the recent experience of a busy referral cutaneous-vulvar service.


METHODS
500 randomly chosen charts from the last 5 years of patients seen at the Columbia Presbyterian Medical Center Cutaneous-Vulvar Service were reviewed. Information was entered into a computer data base and analyzed.


RESULTS
The most common presenting condition was vulvar vestibulitis (36.2%), followed by lichen sclerosus (19.2%) and vaginitis/vaginosis (14.8%). Most patients had undergone a variety of therapies prior to referral. Many were treated for moniliasis in the absence of clinical evidence prior to our evaluation. Most patients responded well to appropriate therapy.


CONCLUSIONS
A variety of primary care providers see women with cutaneous-vulvar symptomatology. Awareness of prevalent conditions will lead to correct diagnosis and treatment. We emphasize the importance of interdisciplinary consultation in difficult cases.
Heller
D S
DS
Department of Pathology, College of Physicians and Surgeons, Columbia University, New York, N.Y., USA.
Randolph
P
P
Young
A
A
Tancer
M L
ML
Fromer
D
D
D000328:Adult; D002181:Candidiasis, Vulvovaginal / Q000453:epidemiology / Q000628:therapy; D004485:Eczema / Q000453:epidemiology; D005260:Female; D006801:Humans; D006965:Hyperplasia; D006969:Hypersensitivity, Immediate / Q000453:epidemiology; D007256:Information Systems; D018459:Lichen Sclerosus et Atrophicus / Q000453:epidemiology; D008875:Middle Aged; D009450:Neurodermatitis / Q000453:epidemiology; D009519:New York City / Q000453:epidemiology; D015995:Prevalence; D012189:Retrospective Studies; D012871:Skin Diseases / Q000175:diagnosis / Q000453:epidemiology* / Q000628:therapy; D014627:Vaginitis / Q000453:epidemiology; D016585:Vaginosis, Bacterial / Q000453:epidemiology; D014845:Vulvar Diseases / Q000175:diagnosis / Q000453:epidemiology* / Q000628:therapy; D014847:Vulvitis / Q000453:epidemiology