Author/Editor     Belič, Mirjam; Trčko, Katarina
Title     Kronični pruritis vulve
Translated title     C[h]ronic pruritis vulvae
Type     članek
Source     In: Miljković J, editor. Zbornik 4. dermatološki dnevi; 2007 okt 19-20; Maribor. Maribor: Univerzitetni klinični center, Oddelek za kožne in spolne bolezni,
Publication year     2007
Volume     str. 15-23
Language     slo
Abstract     Pruritus vulvae involves itching of the external genitalia, the labia majora and perineum. The anogenital area is a common location for pruritic complaints. The cause of vulvar itch can often be multifactorial, but with careful assessment, a primary diagnosis can be reached in most cases. Although not all patients have a readily classifiable disorder, symptomatic treatment and reassurance can provide considerable patient relief. The recognition that the process is treatable, if not curable, should provide encouragement for both patients and their physicians. Only in the past few years has any attempt been made to sistemically study this disorders. Current proposed classifications attempt to include a pathophysiological component to the classification to assist diagnosis, management and research into this sometimes life-destroying symptom. This article has attempted to summarize the various causes of vulvar pruritus and present a framework for evaluating these patients.
Summary     Pruritis vulve se pojavlja v predelu zunanjih genitalij, na velikih labijah in perineju. Anogenitalna regija je pogosta lokalizacija pruriginoznih simptomov. Etiologija vulvarnega pruritusa je mnogokrat multifaktorialna, vendar je z natančno obravnavo bolnice večinoma mogoče postaviti pravilno diagnozo. Čeprav ni vedno mogoče opredeliti vzroka pruritusa, lahko simptomatsko zdravljenje prispeva k občutnemu izboljšanju stanja. Spoznanje, da je kronični vulvarni pruritus mogoče zdraviti, če že ne ozdraviti, je ohrabrujoče tako za bolnice kot za njihove terapevte. Šele v zadnjih letih so poskušali sistematično proučevati vulvarna pruriginozna obolenja. Sodobne predlagane klasifikacije, ki vključujejo patofiziološke komponente, omogočajo hitrejšo postavitev diagnoze, zdravljenje in nadaljno raziskovalno delo. Prispevek poskuša povzeti različne vzroke vulvarnega pruritusa in prikazati smernice za obravnavo bolnic s kroničnim vulvarnim pruritusom.
Descriptors     PRURITUS VULVAE
CHRONIC DISEASE