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Hyperplastic vulval dystrophy

Last reviewed dd mmm yyyy. Last edited dd mmm yyyy

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This is characterised by thickened, hyperkeratotic lesions on the surface of the vulva with frequently, evidence of scratching. The lesions are usually discrete and may be multiple and symmetrical.

This condition most commonly affects postmenopausal women but may occur during reproductive life. Pruritus is the most common complaint.

Diagnosis by toluidine blue directed biosy both confirms the disease and reveals any cellular atypia.

Treatment is with local corticosteroid, usually three times daily for 6 weeks. Any recurrence must be treated as a new case.

Less than 2% of lesions show malignant change but may co-exist with vulval carcinoma.

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