Study of pruritus vulvae in geriatric age group in tertiary hospital

Kaur, Jasleen; Kalsy, Jyotika

doi:10.4103/0253-7184.192632

Cited by 7 publications

(11 citation statements)

References 23 publications

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“…Previous studies in a population with similar ethnic background have found lower incidence of atrophic vaginitis and fungal infections. 11,12 The incidence of lichen sclerosus and lichen simplex chronicus was higher in these studies. Slight variation in findings could likely be related to differences in sample size and age of target population.…”

Section: Discussionmentioning

confidence: 52%

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Pattern of dermatological involvement in early postmenopausal period: a cross sectional study

et al. 2020

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Background: The high burden of menopausal symptoms notwithstanding, there is a paucity of published work evaluating its impact specifically on the skin and mucosa. With high incidence of underreported cases in developing countries, active screening of all women is essential for accurate assessment of prevalence of cutaneous features, as highlighted by this study. The objective of this study is to assess clinical patterns of dermatosis in menopausal women.Methods: A cross‑sectional study conducted in the dermatology department conducted on postmenopausal patients below 65 years having dermatoses after taking their written consent. Data analysis using SPSS 20.0.Results: Of 350 postmenopausal women, 165 had genital involvement, atrophic vaginitis (41.21%) being the most common manifesting typically as vaginal dryness. Of 82 women having oral complaints, 42.7% women had complaints of pain or difficulty swallowing in the absence of mucosal lesions. Of the total sample size, 34% women had had female pattern hair loss, maximum women with grade I-2 (45.4%) and I-3 (36.13%). Two key findings which we did not find previous records of included incidence of keratoderma climactericum (2.29%) and hirsutism in early menopause which we found to be 8%. It is important to note that only 28% of women were aware that their complaints were related to menopause or chose to seek active treatment for existing complaints.Conclusions: This study highlights the various clinical patterns of postmenopausal dermatoses to raise awareness in dermatologists and gynecologists for prompt diagnosis, treatment and patient education.

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Section: Discussionmentioning

confidence: 52%

“…13 The study by Kaur et al focused on geriatric women and had a smaller sample size. 12 Increased prevalence of LSC indicates the likelihood that it is found more in later years of postmenopausal life.…”

Section: Discussionmentioning

confidence: 99%

Pattern of dermatological involvement in early postmenopausal period: a cross sectional study

et al. 2020

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“…Tinea cruris showed a prevalence of 11.11% among patients with genital dermatoses in our study, which was higher than Kaur and Kalsy, who showed a prevalence of 7.5%. [15] The increased prevalence of fungal infections in various studies including ours can be attributed to the rampant increase in the fungal infections, especially among the low socioeconomic strata of society associated with overcrowding and poor hygiene.…”

Section: Discussionmentioning

confidence: 86%

“…[6] So, if VMV had been considered in our study, then the number of patients having atrophic vaginitis might have increased significantly. In a study by Mac Bride et al .,[14] the incidence was reported it to be up to 50%, while in a study by Kaur and Kalsy,[15] it was 27.5%. Infections such as candidiasis, trichomoniasis, or bacterial vaginosis may exacerbate symptoms of atrophic vaginitis.…”

Section: Discussionmentioning

confidence: 99%

A cross-sectional study on the dermatoses in postmenopausal patients at a rural-based tertiary health care center

Pariath

Nair

2019

Indian J Dermatol

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Context:There is still a dearth of knowledge regarding the types of dermatoses occurring in postmenopausal women. The common disorders occurring in postmenopausal women and the probable effects of hormonal fluctuations on the skin have to be considered while treating postmenopausal women.Aims:To study clinical patterns of dermatosis in menopausal women.Settings and Design:It was a cross-sectional study conducted in the dermatology department from May 2017 to June 2018 after approval from ethical committee.Materials and Methods:All postmenopausal patients having dermatoses were included in the study after taking their written consent in vernacular language.Statistical Analysis Used:All findings were analyzed using STATA (14.2).Results:The study included 150 postmenopausal women. Most of the patients belonged to the age group of 61–70 years (38.67%) with a mean age of 61.52 years. The age of menopause was most commonly achieved between 40 and 50 years (57.33%). The genital dermatoses were found in 90 (60%) subjects and included atrophic vaginitis (21, 33.33%), lichen sclerosus et atrophicus (14, 15.55%), lichen simplex chronicus (14,15.55%) and tinea cruris (10,11.11%) among others. The extragenital dermatoses were found in 96 (64%) cases and common ones were dermatophytosis (16, 16.33%), lichen planus (11, 11.22%), psoriasis (9, 9.18%) and eczema (8,8.16%).Conclusion:This study is useful in understanding the various clinical patterns of postmenopausal dermatoses and thereby help the physician, dermatologist, and gynecologist to effectively manage the conditions.

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“…The most common causes of acute vulvar pruritus are candidiasis, contact dermatitis in women of childbearing age, and oophorosis in young girls. Chronic lichen simplex is the most common cause of chronic vulvar pruritus, especially in postmenopausal women [2].…”

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confidence: 99%