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Potassium permanganate

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If the vulval dermatosis is weeping and eroded, then soaks can be useful for a short period. The antiseptic potassium permanganate in low dilution (e.g. 1:10 000) can be very helpful to dry the area so that topical creams and ointments can then be used. A pad of gauze is soaked in this weak solution and then applied to the vulva for 10 minutes two or three times a day for no longer than 48 hours. It is vital to warn the patient that it will cause brown staining on anything that it comes into contact with, such as all containers, clothing, and skin. The discoloration will resolve as the skin renews.

Ridley's The Vulva

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