TITLE:
Is it relevant a correct intimate cleansing in the treatment of vulvar dermatosis?
AUTHORS:
Filippo Murina, Stefania Di Francesco, Martina Ratti
KEYWORDS:
Vular Dermatosis; Lichen Sclerosus; Lichen Simplex Chronicus; Intimate Cleansers
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.4 No.3,
February
24,
2014
ABSTRACT:
Background: Vulvar dermatoses are inflammatory disorders
of genital skin causing itch, pain, dysuria and dyspareunia. Objective: To
compare the efficacy of two intimate cleansers as adjuvants in the treatment of
the two common vulvar dermatoses: Lichen sclerosus (LS) and lichen simplex
chronicus (LSC). Method: 32 patients with the diagnosis of LS or LSC initially treated with Mometasone furoate 0.1% cream were then randomly assigned to receive
either cleanser A (cleaner based on amigdalus dulcis, malva, jojoba oil,
PCL solid, Hyaluronic acid) or cleanser B (cleaner based on Cocoyl Wtheat Amino
Acids, Maltodextrins, Aveena sativa, Caprylic Glycol) twice a day in
association with lanolin cream one application daily for 30 days, following
which the lanolin cream was applied only when needed as a rescue treatment. The
amount of the rescue cream used, rubbing, applicability and pleasantness of the
product were classified before and after 60 days of treatment. Results: The
differences between the two treatments for rubbing, applicability and
pleasantness of the product were statistically non-significant, while “as
needed” use of the emollient lanolin cream was significantly superior in a
total number of doses in the B group versus the A group (8.25 vs 5.28 (P