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Conclusion

Vulval skin conditions are common and generally easy to diagnose by an accurate history and examination. Sometimes further inves­tigations such as vulval swabs, patch tests, and biopsies are needed.

For patients with unusual clinical features, or who fail to respond to adequate therapy, premalignancy or malignancy should be con­sidered as an alternative diagnosis. Patients with complex or rare disease ideally require a multidisciplinary approach to improve clin­ical outcomes and improve patient experience through providing a clear explanation of a diagnosis and a treatment plan. The delivery of care should not be restricted to gynaecologists but should involve all health professionals involved with the care of women working within an individual’s knowledge, skills, and competencies.

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Source: Arulkumaran S., Ledger W., Denny L., Doumouchtsis S. (eds.). Oxford Textbook of Obstetrics and Gynaecology. Oxford University Press,2020. — 928 p.. 2020
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