American Journal of Obstetrics & Gynecology
Volume 199, Issue 5 , Pages 467.e1-467.e6 , November 2008

The role of vulvar skin biopsy in the evaluation of chronic vulvar pain

  • Anneli R. Bowen, MD

      Affiliations

    • Department of Dermatology, University of Utah School of Medicine, Salt Lake City, UT
    • ,
  • Amber Vester, BS

      Affiliations

    • Department of Obstetrics and Gynecology, University of Utah School of Medicine, Salt Lake City, UT
    • ,
  • Lily Marsden, BS

      Affiliations

    • Department of Dermatology, University of Utah School of Medicine, Salt Lake City, UT
    • ,
  • Scott R. Florell, MD

      Affiliations

    • Department of Dermatology, University of Utah School of Medicine, Salt Lake City, UT
    • ,
  • Howard Sharp, MD

      Affiliations

    • Department of Obstetrics and Gynecology, University of Utah School of Medicine, Salt Lake City, UT
    • ,
  • Paul Summers, MD

      Affiliations

    • Department of Obstetrics and Gynecology, University of Utah School of Medicine, Salt Lake City, UT

Received 5 September 2007 ,Revised 19 December 2007 ,Accepted 3 March 2008.

References 

  1. Goetsch M. Vulvar vestibulitis: prevalence and historic features in a general gynecologic practice population. Am J Obstet Gynecol. 1991;164:1609–1614
  2. Prayson R, Stoler M, Hart W. Vulvar vestibulitis: A histopathologic study of 36 cases, including human papillomavirus in situ hybridization analysis. Am J Surg Pathol. 1995;19:154–160
  3. Chadha S, Gianotten WL, Drogendijk AC, Weijmar-Schultz WC, Blindman LA, van der Meijden WI. Histopathologic features of vulvar vestibulitis. Int J Gynecol Pathol. 1998;17:7–11
  4. Young A. Burning vulva syndrome: A report of the ISSVD task force. J Reprod Med. 1984;29:457
  5. Bachmann G, Rosen R, Pinn VW, et al. Vulvodynia: A state-of-the-art consensus on definitions, diagnosis and management. J Reprod Med. 2006;51:447–456
  6. Updike G, Wiesenfeld H. Insight into the treatment of vulvar pain: A survey of clinicians. Am J Obstet Gynecol. 2005;193:1404–1409
  7. Reed B. Vulvodynia: Diagnosis and management. Am Fam Physician. 2006;73:1231–1239
  8. Byrd J, Davis M, Rogers R. Recalcitrant symptomatic vulvar lichen planus: Response to topical tacrolimus. Arch Dermatol. 2004;140:715–720
  9. Kortekangas-Savolainen O, Kiilholma P. Treatment of vulvovaginal erosive and stenosing lichen planus by surgical dilatation and methotrexate. Acta Obstet Gynechol Scand. 2007;86:339–343

 Reprints not available from the authors.

 This study was supported by a grant from the Women's Dermatologic Society.

 Cite this article as: Bowen AR, Vester A, Marsden L, et al. The role of vulvar skin biopsy in the evaluation of chronic vulvar pain. Am J Obstet Gynecol 2008;199:467.e1-467.e6.

PII: S0002-9378(08)00265-2

doi: 10.1016/j.ajog.2008.03.004

American Journal of Obstetrics & Gynecology
Volume 199, Issue 5 , Pages 467.e1-467.e6 , November 2008

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