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Knowledge of its anatomy is limited among both the general population and healthcare professionals, and unrealistic expectations of normal proportions are common. Ignorance of anatomical variations can cause unnecessary anxiety. In Germany, specialists in gynecology and obstetrics most commonly treat neoplastic vulvar dermatoses, while chronic inflammatory dermatoses commonly affecting the female genitalia (such as psoriasis, atopic dermatitis, hidradenitis suppurativa, and vitiligo) are typically treated by dermatologists. Both specialties treat infectious vulvar dermatoses and sexually transmitted infections. Certain dermatoses, such as lichen sclerosus, lichen planus, and lichen simplex chronicus, tend to affect the vulva preferentially; however, terminology can be confusing. Therefore, this article provides basic information on vulvar anatomy and physiology and summarizes recommendations for the diagnosis and management of the most common vulvar dermatoses, with a special focus on chronic inflammatory dermatoses, to provide a useful guide for all involved specialists in daily practice. Interdisciplinary collaboration and the establishment of dedicated consultation hours may help to improve the clinical care of vulvar dermatoses.<\/jats:p>","DOI":"10.1111\/ddg.15541","type":"journal-article","created":{"date-parts":[[2024,12,23]],"date-time":"2024-12-23T04:22:57Z","timestamp":1734927777000},"page":"65-86","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Update vulval dermatology \u2013 diagnostics and therapy"],"prefix":"10.1111","volume":"23","author":[{"given":"Christine","family":"Br\u00e4gelmann","sequence":"first","affiliation":[{"name":"European College for the Study of Vulval Disease"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Linn","family":"W\u00f6lber","sequence":"additional","affiliation":[{"name":"European College for the Study of Vulval Disease"},{"name":"Dysplasia Center Hamburg at Jerusalem Hospital  Hamburg Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laura","family":"Susok","sequence":"additional","affiliation":[{"name":"Department of Dermatology Klinikum Dortmund gGmbH Witten\/Herdecke University  Dortmund Germany"},{"name":"Department of Dermatology Venereology and Allergology Ruhr\u2010University Bochum  Bochum Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Waltraud","family":"Anem\u00fcller","sequence":"additional","affiliation":[{"name":"European College for the Study of Vulval Disease"},{"name":"Department of Dermatology Allergology and Venereology University Medical Center Schleswig\u2010Holstein Campus L\u00fcbeck  Luebeck Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wiebke","family":"Pr\u00fc\u00dfmann","sequence":"additional","affiliation":[{"name":"Department of Dermatology Allergology and Venereology University Medical Center Schleswig\u2010Holstein Campus L\u00fcbeck  Luebeck Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Irina","family":"Ivanova","sequence":"additional","affiliation":[{"name":"Department of Dermatology University Hospital Regensburg  Regensburg Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2069-0486","authenticated-orcid":false,"given":"Dennis","family":"Niebel","sequence":"additional","affiliation":[{"name":"European College for the Study of Vulval Disease"},{"name":"Department of Dermatology University Hospital Regensburg  Regensburg Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,12,23]]},"reference":[{"key":"e_1_2_15_2_1","doi-asserted-by":"publisher","DOI":"10.1080\/01674820802291942"},{"key":"e_1_2_15_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/LGT.0000000000000308"},{"key":"e_1_2_15_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/ca.22524"},{"key":"e_1_2_15_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.diff.2018.08.001"},{"key":"e_1_2_15_6_1","volume-title":"Tanner Stages. 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