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Diabetic Vulvitis


Presentation

  • The following case report illustrates the fact that Type 1 Diabetes can present in the elderly.[endocrine-abstracts.org]
  • Patient presentation Women with vulvovaginitis may present with itch, discharge, dyspareunia, burning, soreness, dysuria and swelling. Symptoms may vary with the menstrual cycle.[nps.org.au]
  • All the men were uncircumcised and presented with a discharge and erythematous lesions on the glans penis and prepuce. In females the main presenting complaints were vulvar soreness, pruritus, smarting/burning, discharge and bleeding.[ncbi.nlm.nih.gov]
  • It usually presents as a glistening, red, well-demarcated plaque or patch. The pathophysiology is unknown.[omicsonline.org]
  • Plasma creatinine was normal and electrolyte abnormalities were not present. Doppler-testing in the feet for circulation showed diminished pulse in one foot and suggested PVD was present together with neuropathy.[householdmedicalmanual.wordpress.com]
Inflammation
  • ICD 10 … Wikipedia Nephritis — Classification and external resources MeSH D009393 Nephritis is inflammation of the nephrons in the kidneys.[medicine.academic.ru]
  • Vulvitis stands for the inflammation of the vulva. Colpitis stands for the inflammation of the vagina. Vulvitis usually coincides with colpitis, rarely occurs alone, especially in the elderly and young children.[en.medixa.org]
  • Inflammation of the vulva (vulvitis) is very common and can occur in women of all ages. What causes vulvitis? Inflammation of the vulva (vulvitis) has many different causes, as listed below.[stationlane.co.uk]
  • Or, he may prescribe a stronger hydrocortisone cream or antihistamine to reduce inflammation. Women who are past menopause and suffering chronic inflammation may want to consider estrogen replacement therapy as a longer term solution.[womens-health-advice.com]
  • […] fistulas May be separated from anal lesions by normal tissue Vulvar involvement in Crohn's may be contiguous (direct extension of intestinal involvement) or noncontiguous (no connection between the vulva and bowel) Case reports 8 year old girl with vulvar inflammation[pathologyoutlines.com]
Swelling
  • Symptoms on the vulva can include: Redness and swelling Severe itching Clear, fluid-filled blisters Sore, scaly, thick, or whitish patches The symptoms of vulvitis can be like other health conditions.[healthlink.uthealth.org]
  • […] of the penis swelling of the face, fingers, or lower legs troubled breathing unusual tiredness or weakness vaginal discharge without odor or with mild odor vomiting weight gain Less Common Anxiety blurred vision chills cold sweats confusion cool, pale[drugs.com]
  • Symptoms may include: Redness and swelling on the labia and other parts of the vulva Intense itching Clear, fluid-filled blisters Sore, scaly, thick, or white patches on the vulva The symptoms of vulvitis may look like other conditions or medical problems[wellnesseducation.hancockregionalhospital.org]
  • Symptoms may include redness and swelling on the labia and other parts of the vulva, and intense itching. Treatment may include self-help measures, Sitz baths, and cortisone creams.[massgeneral.org]
  • As a result of this secretion’s combination with germs, the swelling is called as Bartholin's abscess if pus is accumulated within the cyst. Beside swelling, Bartholin's abscess is characterized by the serious pain, tenderness, redness.[groupflorence.com]
Candidiasis
  • Candidal vulvovaginitis Candidiasis of vagina Candidiasis of vagina in pregnancy Candidiasis of vagina postpartum Candidiasis of vulva Postpartum (after childbirth) candida vaginitis Clinical Information Infection of the vulva and vagina with a fungus[icd10data.com]
  • Diabetes Mellitus Vulvovaginal Candidiasis Drug: Boric Drug: Fluconazole Phase 3 Detailed Description: A high proportion of vulvovaginal candidiasis is due to C.glabrata that responds poorly to fluconazole therapy.[clinicaltrials.gov]
  • Chronic vulvovaginal candidiasis This situation is very different from an attack of acute candidiasis, and will not respond to a single course of topical antifungal therapy.[nps.org.au]
  • , vulvovaginitis, genital infection, genital candidiasis, fungal genital infection, vulvitis, genitourinary tract infection, vulval abscess, and vaginitis bacterial.[rxlist.com]
  • Drugs of the azole group and polyene antibiotics are used in vulvovaginal candidiasis (VVC). In acute VVC and in prevention of recurring infections, triazole derivatives (fluconazole, itraconazole) are recommended.[termedia.pl]
Infertility
  • And if you face issues such as infertility, gynecologic cancer, incontinence, a difficult pregnancy, or a premature birth, our team of specialists and sub-specialists is committed to providing you with exceptional care and compassion.[uabmedicine.org]
  • While it causes tubal blockage and adhesions in women, it can cause infertility in men by blocking the passage of sperm. After diagnosis, it is easy to treat the disease with antibiotics.[groupflorence.com]
Hypertension
  • Hypertension was diagnosed when systolic blood pressure was 140 mmMg/ diastolic blood pressure 90 mmMg or if the subjects were on antihypertensive medications [ 26 ].[bmcendocrdisord.biomedcentral.com]
  • […] carcinoma ( Am J Dermatopathol 2011;33:588 ) Microscopic (histologic) images Images hosted on other servers : Ulcerated epidermis Skin biopsy Terminal ileum Necrotizing fasciitis Definition / general Risk factors: diabetes mellitus (greatest risk factor), hypertension[pathologyoutlines.com]
  • Treatment of T1DM Diet Insulin replacement Life style changes Treatment of associated conditions like Hypertension, Hyper/dyslipidaemia etc. Treatment of complications like retinopathy, nephropathy, neuropathy etc.[ideaas.eu]
  • […] contraception should not be recommended to patients with labile blood sugar, de novo diagnosed diabetes, patients with diabetic complications (retinopathy, nephropathy, coronary disease or lower limb atherosclerosis), high cholesterol or TG level with hypertension[termedia.pl]
  • Hypertensive and elevated plasma lipids responded to therapy. Peripheral neuropathy affecting the lower extremities and feet was unresponsive to any treatment and initially deteriorated on commencement of anti-diabetic therapy.[householdmedicalmanual.wordpress.com]
Heart Disease
  • The author of numerous books, including Nameless Diseases, she has written widely about topics in women's health, including heart disease, behavioral health, autoimmune disorders, and alternative medicine.[books.google.com]
  • Many aged humans with type-II diabetes(maturity onset) eventually develop and accentuate the aging process in geriatric/octogenarians, many of which have co-morbidities (chronic ischaemic heart disease, peripheral vascular disease, “diabetic foot”, nephropathy[householdmedicalmanual.wordpress.com]
Ulcer
  • The word nephritis was imported from Latin, which took it from Greek: νεφρίτιδα … Wikipedia Keratitis — Classification and external resources An eye with non ulcerative sterile keratitis.[medicine.academic.ru]
  • Gross description Hyperemia, edema, ulceration, "knife cut" ulcers (resemble lacerations, almost pathognomonic of Crohn's disease but also reported in herpetic infections in immunocompromised and in cutaneous tuberculosis), "apthous-like" ulcer Microscopic[pathologyoutlines.com]
  • Ulcerative lesions may result in destruction of the vulva.[rawfoodexplained.com]
  • In late syphilis, white mucosal patches that coalesce and ulcerate focally may be present in the vagina and the external genitalia.[clinicalgate.com]
  • If the disease is not treated, complications will develop in the form of ulceration (ulcerous vulvitis). Diagnosis of the disease Vulvit is easy to diagnose, but the main thing is to start treating it correctly.[brulanta.com]
Urticaria
  • Other common skin disorders that may cause vulval itch include: Psoriasis Seborrhoeic dermatitis Allergic contact dermatitis * Irritant or allergic contact urticaria Dermographism Folliculitis.[dermnetnz.org]
  • […] eGFR]). [ Ref ] Frequency not reported : Increases in serum creatinine, decreases in eGFR, renal impairment, acute renal failure Postmarketing reports : Acute kidney injury [ Ref ] Dermatologic Uncommon (0.1% to 1%): Photosensitivity reactions, rash, urticaria[drugs.com]
  • ., angioedema, urticaria , hypersensitivity) were reported with FARXIGA treatment.[rxlist.com]
Anterior Uveitis
  • uveitis, seen as yellowish exudate in lower part of anterior chamber of eye ICD 10 H … Wikipedia Dacryoadenitis — Classification and external resources ICD 10 H04.0 ICD 9 375.0 … Wikipedia[medicine.academic.ru]
Blepharitis
  • ICD 10 H16 … Wikipedia Cystitis — ICD 10 N30 ICD 9 595 DiseasesDB 29445 … Wikipedia Blepharitis — Classification and external resources An infant with mild blepharitis on his right side ICD 10 H … Wikipedia Uveitis — Classification and external resources[medicine.academic.ru]
Seizure
  • […] depression dizziness dry mouth fast or irregular heartbeat headache hives or welts , itching skin, rash increased hunger large, hive-like swelling on the face, eyelids, lips, tongue, throat, hands, legs, feet, or sex organs nightmares redness of the skin seizures[drugs.com]
Tremor
  • […] dangerous as such but if it happens in situations like driving, swimming, operating machinery - can be devastating Even if lapses into coma, virtually no risk of death or long term cerebral damage Even left unaided, recover spontaneously Warning symptoms Tremor[ideaas.eu]
Vaginal Discharge
  • Exclusion Criteria: Patients with vaginal discharge in whom Candida growth was not detected on fungal culture were excluded. Subjects also excluded were those with pregnancy, Sexually inactive girls, Age 65 years, renal failure and steroid therapy.[clinicaltrials.gov]
  • This yeast infection can cause genital itching and a thick, white vaginal discharge with a cottage cheese-like texture. Some women experience yeast infections after using antibiotics.[healthline.com]
  • The common symptoms are itching, burning, soreness, pain during intercourse and urination, and vaginal discharge.[medicinenet.com]
  • Vaginal discharge from STIs (sexually transmitted infections) is not common before the teen years. Vaginal Foreign Object. Young girls may put an object (such as a bead) in the vagina.[seattlechildrens.org]
  • . • Possible vaginal discharge. • Clear fluid filled blisters that eventually burst and crust over. • If the condition is chronic the skin becomes thickened and develops white patches. • If associated with diabetes the skin often looks deep red. • Leads[womens-health-advice.com]
Pelvic Pain
  • New chapters on Chronic Pelvic Pain, BRCA1 and BRCA2 mutations, Obstetric Anesthesia and Analgesia, Subdermal Contraceptive Capsule Insertion and Removal, Trigger Point Injections, and more.[books.google.com]
  • pain, post coital and intermenstrual bleeding -Cervix may be inflamed and bleed when touched -Need to rule out herpes, gonorrhea, and chlamydial infection -pH 4.5 or less -Treatment is dependent on diagnosis[quizlet.com]
  • This is a is a rare, benign vulval disorder that presents with erythematous patches and erosions. [ 5 ] Miscellaneous pain syndromes Vulvodynia - causes chronic vulval and pelvic pain, of unknown aetiology. [ 6 ] Vulvodynia is a complex disorder reported[patient.info]
  • Reason or complaint for admission may be general abdominal / pelvic pain, high fever, foul-smelling vaginal discharge and nausea, vomiting, inability to release gas in delayed cases.[groupflorence.com]
Pruritus Vulvae
  • The sensation of itch in this site in the absence of a known skin condition is referred to as pruritus vulvae.[dermnetnz.org]
  • Pruritus vulvae of unknown cause In the absence of a specific diagnosis, or whilst waiting for results, the following treatments can be tried.[patient.info]
  • vulvae) or balanitis (glycosuria),diabetica-myopathy, hyper-and hypoglycaemia, xanthoma deposits in upper eye-lids and tendon Achilles, coma, diabetic ketoacidosis, vascular disorders (diabetic gangrene), ocular disorders (retinopathy, blurred vision[householdmedicalmanual.wordpress.com]
  • Figure 8-2 D iabetic V ulvitis, T richomoniasis, M oniliasis, and G onorrhea Presenting features of vulvitis or vulvovaginitis include pruritus vulvae, vaginal discharge, burning on urination, and dyspareunia.[clinicalgate.com]
Vulvar Pain
  • pain likely represents many disorders ( J Sex Med 2008;5:5 ) Chronic inflammation of vulvar vestibular mucosa, lamina propria and periductal connective tissue of vestibule May see mild exocytosis of lymphocytes in vestibular glands and ducts ( Ann Dermatol[pathologyoutlines.com]
  • She endorsed moderate vulvar pain, vaginal discharge and bloody tinge on the toilet paper with wiping. Patient acknowledged stress within marriage and status of apareunia because of the pain.[omicsonline.org]
Vulvar Burning
  • Case Report A 43 year old Caucasian woman presented with vulvar burning for 2 years. She had been treated unsuccessfully with topical clobetasol, triamcinolone and fluocinonide ointments and oral prednisone.[omicsonline.org]

Workup

Candida
  • Candida may be normally present in small numbers in some women and not cause disease but the presence of Candida without symptoms of infection does not require treatment. CONTINUE SCROLLING OR CLICK HERE FOR RELATED ARTICLE Reviewed on 12/27/2018[medicinenet.com]
  • […] of vagina Candida of vulva Candida vaginitis in pregnancy Candida, vulvovaginitis Candidal vulvovaginitis Candidiasis of vagina Candidiasis of vagina in pregnancy Candidiasis of vagina postpartum Candidiasis of vulva Postpartum (after childbirth) candida[icd10data.com]
  • Candida albicans vaginitis causes thick white vaginal discharge, erythema, and oedema ; candida vulvitis causes satellite red superficial papules, pustules, desquamation and erosions.[dermnetnz.org]
  • Exclusion Criteria: Patients with vaginal discharge in whom Candida growth was not detected on fungal culture were excluded. Subjects also excluded were those with pregnancy, Sexually inactive girls, Age 65 years, renal failure and steroid therapy.[clinicaltrials.gov]
  • Candida vulvitis is treated with clotrimazole, nystatin, or miconazole creams; Gardnerella and other bacterial infections are treated with metronidazole; and Chlamydia infections are treated with the antibiotics doxycycline or erythromycin.[britannica.com]

Treatment

  • Classic Netter images are paired with concise, evidence-based descriptions of common diseases, conditions, diagnostics, treatments, and protocols.[books.google.com]
  • […] for yeast infection -topical: best solution-Antifungals -use treatment that is at least 3 days if chronic use 5-7 days -diflucan: oral treatment -Recurrent infections: rule out Diabetes/ or autoimmune diseases -FISHY ODOR -Thin, homogenous gray/white[quizlet.com]
  • Treatment recommendation is mostly based on case reports and case series and this condition is often recalcitrant to topical and systemic treatment.[omicsonline.org]
  • Treatment of vulvitis and colpitis The treatment of vulvitis and colpitis is carried out by administration of anti-inflammatory drugs, antibiotics and antifungal agents.[en.medixa.org]
  • The cornerstone of treatment is antibiotic therapy.[groupflorence.com]

Prognosis

  • However, for severe conditions and cosmetic concerns, topical creams, topical lotions, and even surgery may be considered The prognosis of Plasma Cell Vulvitis is excellent with suitable treatment, including surgery or laser therapy Who gets Plasma Cell[dovemed.com]
  • Prognosis Most cases of pruritus resolve once the correct diagnosis is made and appropriate treatment instituted. The prognosis will depend on the underlying condition causing the vulvitis.[patient.info]
  • The prognosis is poor, with an overall 5-year survival of 35%.[clinicalgate.com]

Etiology

  • Other diagnostic tools like pap smears, urine tests, blood tests and tests for sexually transmitted diseases are also done. [ medical citation needed ] In children [ edit ] Vulvitis, inflammation of the vulva, can have a variety of etiologies in children[en.wikipedia.org]
  • (Etiology) The exact cause of development of Plasma Cell Vulvitis is unknown Some researchers have proposed that poor hygiene, bacterial infections, excessive sweating, or trauma may be potential causative factors It is not a sexually-transmitted condition[dovemed.com]
  • The pathophysiology is unknown, though herpes simplex has been cited as a possible etiology [ 3 ]. The condition usually presents as a glistening, red, well-demarcated plaque or patch.[omicsonline.org]

Epidemiology

  • In a national level epidemiological study conducted in 2006 in Sri Lanka, the diabetes prevalence was reported as 10.3 % with 36 % remaining undiagnosed [ 2 ].[bmcendocrdisord.biomedcentral.com]
  • Epidemiology Exact figures are not available because the term covers so many different conditions and many women self-treat and do not consult a health professional. Females of all ages are affected, from prepubertal girls to the elderly.[patient.info]
  • Hyper-insulinaemia and cancer, meta-analyses of epidemiological studies. Arch Physiol Biochem 2008; 114: 63-70. Michaud DS, Wolpin B, Giovannucci E, et al. Prediagnostic plasma C-peptide and pancreatic cancer risk in men and women.[termedia.pl]
Sex distribution
Age distribution

Pathophysiology

  • The pathophysiology is unknown. Treatment recommendation is mostly based on case reports and case series and this condition is often recalcitrant to topical and systemic treatment.[omicsonline.org]
  • Several authors and trials describe symptomatology and pathophysiology of the aging bladder: lower urinary tract bladder dysfunction, uninhibited bladder and detrusor contraction, reduced urine flow-rate, reduced pressure profile in the urethra, and increased[householdmedicalmanual.wordpress.com]

Prevention

  • Can It Be Prevented? Not all cases of vulvitis can be prevented, particularly if there is an underlying disease. However, in general it can be prevented in much the same was as vaginitis is prevented.[womens-health-advice.com]
  • Removing underwear at bedtime may also help prevent vulvovaginitis. Proper cleansing is important and may help prevent irritation. This is especially true if the infection is bacterial.[healthline.com]
  • While good personal hygiene is vital in preventing vulvitis, over-washing of the genitalia can also make symptoms worse, and doctors agree that certain hygiene products can cause irritation in some women that can lead to vulvitis.[glamourlifestyles.com]
  • How can I help prevent vulvitis? If you tend to get yeast infections when you take antibiotics, ask your provider about using an antifungal cream when you are taking antibiotic medicine.[hhma.org]

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