RESUMO
Vulval irritation and discomfort can be a common presentation to both primary and secondary care. These symptoms can become increasingly prevalent due to physiological changes, which occur to the female genitalia following menopausal transition or due to inflammatory conditions. The correct diagnosis and management can have a huge impact on the patients' quality of life. However, due to the nature of the symptoms, there can be delayed presentation to healthcare professionals. This article gives an overview of the most common benign vulval conditions in the post-menopausal woman, their clinical features and the diagnosis and initial management.
Assuntos
Exame Ginecológico/métodos , Administração dos Cuidados ao Paciente/métodos , Pós-Menopausa , Qualidade de Vida , Idoso , Diagnóstico Diferencial , Feminino , Humanos , Líquen Plano/etiologia , Líquen Plano/fisiopatologia , Líquen Plano/psicologia , Líquen Plano/terapia , Prurido Vulvar/etiologia , Prurido Vulvar/fisiopatologia , Prurido Vulvar/psicologia , Prurido Vulvar/terapia , Líquen Escleroso Vulvar/etiologia , Líquen Escleroso Vulvar/fisiopatologia , Líquen Escleroso Vulvar/psicologia , Líquen Escleroso Vulvar/terapiaRESUMO
OBJECTIVES: To evaluate the response of Metvix photodynamic therapy (PDT) for the treatment of periocular Bowen's disease. METHODS: Four patients with biopsy-proven Bowen' disease were treated with Metvix PDT between November 2010 and January 2012. A detailed description of the technique used is described. RESULTS: All of the patients tolerated the PDT well. All had some clinical response to the treatment, although there was not complete, lasting resolution beyond one year in three out of the four cases. CONCLUSION: PDT can be a good treatment in its own right in selected cases of periocular Bowen's disease.
