VULVAL EPITHELIAL DISORDERS

Terminology, Definition and type:-

Non-neoplastic epithelial disorder of vulval skin and mucosa have been classified according to International Society for the Study of Vulvovaginal Diseases (ISSVD). Broadly these include lichenoid, acanthotic (squamous hyperplasia) pattern and other dermatoses. Lesions having neoplastic potentials as changed. VIN lesions have been excluded from the classification. The classification of ‘non-neoplastic epithelial disorders of vulva, skin and mucosa’ has been presented.

Etiology: Multiple factors such as traumatic (scratching), autoimmune allergic (atopic), irritation, nutritional (deficiency of folic acid, vitamin B12, riboflavine, achlorhydria, etc.), infection (fungus), metabolic or systemic (hepatic, hematological), etc. are implicated. Autoimmune disorders like thyroid disease, pernicious anemia and diabetes are often associated. About 40 percent women are having or going to develop an autoimmune condition. Patient’s personal or family history of atopic conditions (asthma, eczema, hay fever) should be taken.

DRUGS:

β-blockers, angiotensin-converting enzyme (ACE) inhibitors, may be associated. Common allergens are: cosmetics, synthetic underwears and fragrances.

HOMEOPATHIC MANAGEMENT: -

The medicines that can be thought of use are:-

• Sepia
• Platina
• Belladonna
• Thuja
• Kreosote