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The Australasian Journal of Dermatology Nov 2008Four cases of vulval basal cell carcinoma were identified in multiparous females aged 46-78 years. Symptoms included discomfort and pruritus ranging from 6 weeks to 4...
Four cases of vulval basal cell carcinoma were identified in multiparous females aged 46-78 years. Symptoms included discomfort and pruritus ranging from 6 weeks to 4 years in duration. Such symptoms occurred in the context of a pink vulval plaque. The non-specific symptoms, in the context of the particular anatomical site, led to late presentation. Subsequent treatment in all cases involved wide local excision following incisional biopsy. No recurrence has been documented after a minimum follow-up period of 12 months.
Topics: Aged; Carcinoma, Basal Cell; Diagnosis, Differential; Female; Humans; Middle Aged; Pruritus Vulvae; Treatment Outcome; Vulvar Lichen Sclerosus; Vulvar Neoplasms
PubMed: 18855783
DOI: 10.1111/j.1440-0960.2008.00471.x -
International Journal of Gynaecology... Jan 2009
Topics: Adult; Biopsy; Cohort Studies; Female; Humans; Middle Aged; Predictive Value of Tests; Pruritus Vulvae; Tolonium Chloride; Vulvar Lichen Sclerosus
PubMed: 18851857
DOI: 10.1016/j.ijgo.2008.08.018 -
International Journal of Dermatology Aug 2008
Topics: Adult; Biopsy, Needle; Female; Humans; Immunohistochemistry; Pruritus Vulvae; Risk Assessment; Sweat Gland Neoplasms; Syringoma; Treatment Refusal; Vulva
PubMed: 18717864
DOI: 10.1111/j.1365-4632.2008.03664.x -
International Urogynecology Journal and... Feb 2009Labial adhesions or fusion in the elderly are rare, and only few cases are described in the English literature. We describe a case of near-complete labial fusion in an...
Labial adhesions or fusion in the elderly are rare, and only few cases are described in the English literature. We describe a case of near-complete labial fusion in an elderly woman presenting with voiding difficulty, its management and literature review.
Topics: Administration, Topical; Aged; Estrogens; Female; Humans; Pruritus Vulvae; Urination Disorders; Vulva
PubMed: 18629427
DOI: 10.1007/s00192-008-0684-x -
Obstetrical & Gynecological Survey Jul 2008Both patients and clinicians may incorrectly diagnose vulvovaginitis symptoms. Patients often self-treat with over-the-counter antifungals or home remedies, although... (Review)
Review
Both patients and clinicians may incorrectly diagnose vulvovaginitis symptoms. Patients often self-treat with over-the-counter antifungals or home remedies, although they are unable to distinguish among the possible causes of their symptoms. Telephone triage practices and time constraints on office visits may also hamper effective diagnosis. This review is a guide to distinguish potential causes of vulvovaginal symptoms. The first section describes both common and uncommon conditions associated with vulvovaginitis, including infectious vulvovaginitis, allergic contact dermatitis, systemic dermatoses, rare autoimmune diseases, and neuropathic vulvar pain syndromes. The focus is on the clinical presentation, specifically 1) the absence or presence and characteristics of vaginal discharge; 2) the nature of sensory symptoms (itch and/or pain, localized or generalized, provoked, intermittent, or chronic); and 3) the absence or presence of mucocutaneous changes, including the types of lesions observed and the affected tissue. Additionally, this review describes how such features of the clinical presentation can help identify various causes of vulvovaginitis.
Topics: Dermatitis, Contact; Female; Humans; Lichen Planus; Pruritus Vulvae; Vaginal Discharge; Vaginitis; Vulvar Vestibulitis
PubMed: 18559121
DOI: 10.1097/OGX.0b013e318172ee25 -
Contact Dermatitis May 2008Persistent vulval pruritus is a frequent problem and patients may not show signs of a primary vulval dermatosis. Allergic contact sensitivity is an important factor in...
BACKGROUND
Persistent vulval pruritus is a frequent problem and patients may not show signs of a primary vulval dermatosis. Allergic contact sensitivity is an important factor in such patients but may also occur as a secondary event in women with vulval dermatoses.
OBJECTIVES
We aim to describe women with vulval pruritus who were evaluated for vulval dermatoses. We patch tested to help define or exclude allergens.
METHODS
In a 3-year period, 50 women with vulval pruritus were examined for existence of vulval dermatosis. All the patients were patch tested to the European Baseline Series, medicaments, preservatives, vehicles, cosmetics and products they routinely used.
RESULTS
Ages of the patients ranged from 22 to 62 years (mean 39.9 +/- 9 years) and duration of the diseases ranged from 0.5-360 months (mean 56.1 +/- 65.6 months). 52% of the women had at least 1 positive patch test. 8 patients (16%) had 1 or more relevant allergic positive reactions. The relevant allergens were usually cosmetics, preservatives and medicaments.
CONCLUSIONS
Women with vulval pruritus were patch tested to help define or rule our allergens. Contact allergy incidence in these patients is high. The relevant allergens were usually cosmetics, preservatives and medicaments.
Topics: Administration, Topical; Adult; Allergens; Cosmetics; Dermatitis, Allergic Contact; Dermatitis, Irritant; Dermatologic Agents; Female; Humans; Middle Aged; Patch Tests; Preservatives, Pharmaceutical; Pruritus Vulvae; Vulvar Diseases
PubMed: 18416761
DOI: 10.1111/j.1600-0536.2008.01325.x -
The Australasian Journal of Dermatology May 2008Forty-three patients with the primary complaint of vulval pruritus were recruited to take part in this prospective patch-testing study. A detailed questionnaire was...
Forty-three patients with the primary complaint of vulval pruritus were recruited to take part in this prospective patch-testing study. A detailed questionnaire was administered to each and patch testing to an extended battery of allergens was undertaken. This included the European standard series, preservatives, corticosteroids and a battery of common over-the-counter topical vulval treatments. Analysis of demographic data and prior treatments used, and various other parameters, were studied in the context of patch-test results. This prospective study reports a very high rate of contact sensitivity in patients presenting with vulval pruritus, with 81.4% of those tested having at least one contact allergen detected. One or more clinically relevant allergens were found in 44% of the subjects patch tested. The variables found to predict a greater likelihood of a contact allergy were a biopsy diagnosis of vulval dermatitis, the use of multiple topical treatments, sexual inactivity and patients with severe pruritus on a self-reported scale. Most importantly, many clinically relevant allergens these patients reacted to were outside the European standard series. This highlights the need for an extended series in this patient population.
Topics: Administration, Topical; Adult; Aged; Aged, 80 and over; Allergens; Dermatitis, Allergic Contact; Dermatologic Agents; Female; Humans; Middle Aged; Patch Tests; Prospective Studies; Pruritus Vulvae; Severity of Illness Index; Sexual Behavior; Surveys and Questionnaires; Vulva; Vulvar Diseases
PubMed: 18412806
DOI: 10.1111/j.1440-0960.2008.00442.x -
Acta Dermato-venereologica 2008
Topics: Administration, Topical; Aged; Antipruritics; Female; Genital Diseases, Male; Humans; Immunosuppressive Agents; Male; Pruritus; Pruritus Vulvae; Scrotum; Tacrolimus
PubMed: 18311464
DOI: 10.2340/00015555-0410 -
Acta Dermato-venereologica 2008Approximately 80% of psoriatic individuals experience pruritus, of varying intensity. This study evaluated the frequency of vulvar itching and burning and its influence...
Approximately 80% of psoriatic individuals experience pruritus, of varying intensity. This study evaluated the frequency of vulvar itching and burning and its influence on well-being in women with psoriasis. A total of 93 women were included in the study. Psoriasis severity was assessed according to the Psoriasis Area and Severity Index, the intensity of vulvar discomfort by visual analogue scale and depressive symptoms by Beck's Depression Inventory. On admission 41 (44.1%) women experienced vulvar discomfort, 18 (19.4%) itching, 10 (10.8%) burning and 13 (14.0%) both itching and burning sensations. Psoriatic lesions on the vulva were found in 22 (23.7%) women. No significant correlation was found between burning or itching intensity and global psoriasis severity (r = 0.19, p = 0.26). Patients with vulvar discomfort had psoriatic lesions on the vulva more often than women without discomfort (43.6% vs. 8.2%, p < 0.001). In addition, patients with vulvar discomfort more frequently demonstrated depressive symptoms (p < 0.05). We conclude that vulvar discomfort is an important clinical problem in women with psoriasis and should be taken into consideration during treatment.
Topics: Adult; Depression; Female; Humans; Middle Aged; Paresthesia; Pruritus Vulvae; Psoriasis; Quality of Life; Severity of Illness Index
PubMed: 18311439
DOI: 10.2340/00015555-0372 -
Journal of the Egyptian Society of... Aug 2007The signs and symptoms of trichomonasis vaginalis are not adequately sensitive or specific for diagnosis as up to 50% being asymptomatic. Parasitologic diagnosis was...
The signs and symptoms of trichomonasis vaginalis are not adequately sensitive or specific for diagnosis as up to 50% being asymptomatic. Parasitologic diagnosis was usually a must. Diagnosis of trichomonasis was traditionally based on demonstration of the parasite in the normal saline wet mounts of vaginal swaps. In this study, 15/167 married women had T. vaginalis. Wet mount preparation showed 38.5% sensitivity, 98.7% specificity, 71.4% positive predictive value and 95% negative predictive value. InPouch TV culture showed 86.7% sensitivity, 100% specificity, 100% positive predictive value and 98.7% negative predictive value. The results were discussed.
Topics: Animals; Diagnosis, Differential; Female; Humans; Parasitology; Predictive Value of Tests; Prevalence; Pruritus Vulvae; Saudi Arabia; Sensitivity and Specificity; Trichomonas Vaginitis; Trichomonas vaginalis; Vaginal Discharge; Vaginal Smears
PubMed: 17985573
DOI: No ID Found