Genital eczema - Altmeyers Encyclopedia

Definition
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Eczema in the genital area of various causes. Frequently in atopic diathesis, rarely contact allergic. The changes can also be caused by irritative mechanisms in urinary incontinence or on the floor of a psoriasis or by excessive hygiene.

Etiopathogenesis
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Often due to the nature of the plant. In case of allergic genesis caused by ingredients of body cleansing and care products, especially soaps, bath additives, bath milk, perfumes, detergents (fragrances!), intimate washing lotions, sanitary towels, tampons, disinfectants, contraceptives (condoms, diaphragm, local chemical contraceptives).

Therapy
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Genital eczema tends to become chronic and resistant to therapy if no trigger is found. The success of therapy is often unsatisfactory for both therapist and patient. It is important to inform the patient about this. Genital eczema is characterized by a considerable pruritus; the patient's quality of life is considerably reduced. Steroid atrophy often exists after many years of use, which leads to an increase in symptoms after withdrawal. It is essential to recognise lamenting larmoyant individuals who produce a maximum wealth of pruritus symptoms with minimal findings. This genital-centred psychosomatic symptom complex often involves partner conflicts. In this case it is recommended to consult a psychosomatically trained therapist.
In case of contact allergic eczema, elimination of the allergen.
During local therapy, pay attention to allergologically neutral bases, e.g. Vaselinum album, Ungt. emulsific. aq. or Ungt. zinci (DAB). Otherwise, eczema therapy appropriate to the stage of the disease. If necessary, use low potent glucocorticoids in low concentrations such as 0.5% hydrocortisone R120, due to their good penetration and occlusion effect. In case of chronic eczema as steroid-free as possible with tar preparations (e.g. tar-linola fat), polidocanol, tanning agents (see below eczema). In the case of mycosis or frequently recurring mycoses, additional cotrimoxazole 1%. Sitting baths with tannolact. In addition, general measures and guidelines regarding intimate cleansing and care. Chronic skin changes in the gloss area often improve after circumcision.