Evidence map›Paper›PMID 32181734›Full record

ReviewDeutsches Arzteblatt international2020

Vulvar pruritus-Causes, Diagnosis and Therapeutic Approach.

Linn Woelber, Katharina Prieske, Werner Mendling, Barbara Schmalfeldt, Hans-Jürgen Tietz, Anna Jaeger

Abstract readReview
In one paragraph

Review in Deutsches Arzteblatt international, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. European S2k Guideline on Chronic PruritusActa dermato-venereologica · 2025
    Guideline
  2. Review
  3. Review
  4. Review
  5. Update vulval dermatology - diagnostics and therapy.Journal der Deutschen Dermatologischen Gesellschaft = Journal of the German Society of Dermatology : JDDG · 2025
    Review
  6. Article
  7. Article
  8. Review
  9. Article
  10. Review
  11. Itch Beyond the Skin-Mucosal Itch.Frontiers in allergy · 2021
    Review
  12. Review
  13. Interventional Surgical Treatment Options.Deutsches Arzteblatt international · 2020
    Article
  14. In Reply.Deutsches Arzteblatt international · 2020
    Article
  15. Some Additional Aspects.Deutsches Arzteblatt international · 2020
    Article
  16. Inquire About Use of Panty Liners.Deutsches Arzteblatt international · 2020
    Article
  17. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors.

Linn WoelberDepartment of Gynecology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany; German Center for Infections in Gynecology and Obstetrics, Wuppertal, Germany; Institute of Fungal Disease and Internal Medicine, Mycoclinic Berlin, Berlin, Germany.
Katharina Prieske
Werner Mendling
Barbara Schmalfeldt
Hans-Jürgen Tietz
Anna Jaeger

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn Germany, 17-23% of the population suffers from chronic itching of the skin; in 5-10% of cases, the female genitalia are affected, specifically, the vulva. Vulvar pruritus is thus a common symptom that often markedly impairs the affected women's quality of life.

methodsThis review is based on pertinent publications that were retrieved by a selective search in MEDLINE/PubMed for articles on the pathogenesis, diagnosis, and treatment of vul- var pruritus. The search terms were (in German and English) "vulvärer Juckreiz," "pruritus vulvae," and "genital itch," alone and in combination with "Behandlung," "Therapie," or "treat- ment."

resultsThe most common cause of vulvar pruritus is vulvo- vaginal candidiasis followed by chronic dermatoses, such as lichen sclerosus and vulvar eczema. Especially in refractory cases, an invasive or preinvasive lesion such as squamous epithelial dysplasia (VIN, vulvar intraepithelial neoplasia) should be borne in mind in the differential diagnosis. Rarer causes include infection, atrophy, and vulvodynia. The essen- tial elements of treatment are topical/oral antimycotic drugs and high-potency glucocorticoids, along with consistently ap- plied, basic moisturizing care and the avoidance of potential triggering factors.

conclusionAs vulvar pruritus has multiple causes, standard- ization of its diagnostic evaluation and treatment would be l efficacy and to meet the diverse needs of women who suffer from this condition.

Indexed as

Pruritus VulvaeFemaleGermanyHumans

Identifiers

PMID32181734
PMCPMC7081372

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.