Allergic contact dermatitis is an important diagnostic consideration in the evaluation of patients presenting with vulvar complaints. The high prevalence of contact sensitization in the vulvar region is likely multifactorial. We review the extant literature regarding key predisposing factors in the pathogenesis of vulvar allergic contact dermatitis, as well as the most commonly implicated allergens as identified by a number of retrospective studies and case series. On the basis of our findings, we provide diagnostic and therapeutic recommendations for practicing clinicians.
From the *Department of Dermatology, University of California San Francisco;
†University of Michigan Medical School, Ann Arbor; and
‡Department of Dermatology, University of Wisconsin School of Medicine and Public Health, Madison.
Address reprint requests to Rachel Kornik, MD, Department of Dermatology, University of Wisconsin School of Medicine and Public Health, 1300 University Ave, Madison, WI 53706. E-mail: firstname.lastname@example.org.
The authors have no funding or conflicts of interest to declare.