{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,26]],"date-time":"2025-11-26T16:17:10Z","timestamp":1764173830235},"reference-count":16,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2012,2,14]],"date-time":"2012-02-14T00:00:00Z","timestamp":1329177600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Deutsche Derma Gesell"],"published-print":{"date-parts":[[2012,5]]},"abstract":"<jats:title>Summary\u2002<\/jats:title><jats:p><jats:italic>Background:<\/jats:italic> Diseases of the vulva often cause severe impairment and long\u2010term problems for the affected women. Adequate treatment requires expert knowledge on the part of treating dermatologists and gynecologists. This was the reason for the initiation of an interdisciplinary consultation service for vulvar diseases at the University Hospital of L\u00fcbeck.<\/jats:p><jats:p><jats:italic>Patients and methods:<\/jats:italic> Over a period of 2\u00bd years, 208 patients were seen in the new consultation service. Cases were classified as inflammatory diseases, neoplastic diseases, infectious diseases, vulvodynia, or genodermatoses. The effectiveness of treatment was documented by photography, biopsy and \u2013 whenever applicable \u2013 a quality of life assessment using the Dermatology Life Quality Index (DLQI).<\/jats:p><jats:p><jats:italic>Results:<\/jats:italic> Inflammatory dermatoses were diagnosed in 133 patients and neoplas\u2010tic diseases in 32 patients. Infection was diagnosed in 25 patients, vulvodynia in 8, genodermatoses in 3 and other diseases in 7. The DLQI was assessed in 140 patients. Of these, 55 patients had a DLQI &gt; 10 (0\u201330), indicating severe or extreme impairment of quality of life. A follow\u2010up DLQI was collected in 81 patients, showing a significant improvement.<\/jats:p><jats:p><jats:italic>Conclusions:<\/jats:italic> The patients and both hospital facilities benefitted from the interdisciplinary consultation service. The initial high costs in terms of medical staff and time was compensated by the development of diagnostic and treatment algorithms. Overall, the concept received positive feedback from patients and medical staff members.<\/jats:p>","DOI":"10.1111\/j.1610-0387.2012.07837.x","type":"journal-article","created":{"date-parts":[[2012,2,14]],"date-time":"2012-02-14T10:07:28Z","timestamp":1329214048000},"page":"350-357","source":"Crossref","is-referenced-by-count":10,"title":["Developing an interdisciplinary consultation service for vulvar disorders"],"prefix":"10.1111","volume":"10","author":[{"given":"Waltraud","family":"Anem\u00fcller","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andreas","family":"Recke","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christopher","family":"Altgassen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Katharina","family":"Kelling","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2012,2,14]]},"reference":[{"key":"e_1_2_7_2_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00129-008-2307-5"},{"key":"e_1_2_7_3_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2230.1994.tb01167.x"},{"key":"e_1_2_7_4_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.0022-202X.2005.23621.x"},{"key":"e_1_2_7_5_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00404-009-1313-8"},{"key":"e_1_2_7_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.det.2010.07.005"},{"key":"e_1_2_7_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2007.05.031"},{"key":"e_1_2_7_8_2","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2133.1996.43766.x"},{"key":"e_1_2_7_9_2","first-page":"101","article-title":"Vulvar involvement in autoimmune bullous diseases","volume":"38","author":"Marren P","year":"1993","journal-title":"J Reprod Med"},{"key":"e_1_2_7_10_2","first-page":"420","article-title":"Outcomes of surgical management of stage III vulvar hidra\u2010denitis suppurativa","volume":"53","author":"Rhode JM","year":"2008","journal-title":"J Reprod Med"},{"key":"e_1_2_7_11_2","first-page":"100","article-title":"Chronic hidradenitis suppurativa and perianal mucinous adenocarcinoma. 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