THE CUTANEOUS-VULVAR CLINIC REVISITED - A 5-YEAR EXPERIENCE OF THE COLUMBIA-PRESBYTERIAN-MEDICAL-CENTER CUTANEOUS-VULVAR SERVICE

Objective: To review the recent experience of a busy referral cutaneou s-vulvar service, Study Design: 500 randomly chosen charts from the la st 5 years of patients seen at the Columbia Presbyterian Medical Cente r Cutaneous-Vulvar Service were reviewed, Information was entered into a computer data base and analyzed. Results: The most common presentin g condition was vulvar vestibulitis (36.2%), followed by Lichen sclero sus (19.2%) and vaginitis/vaginosis (14.8%). Most patients had undergo ne a variety of therapies prior to referral. Many were treated for mon iliasis in the absence of clinical evidence prior to our evaluation. M ost patients responded well to appropriate therapy. Conclusions: A var iety of primary care providers see women with cutaneous-vulvar symptom atology. Awareness of prevalent conditions will lead to correct diagno sis and treatment. We emphasize the importance of interdisciplinary co nsultation in difficult cases.