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]
Entire Body System
- First Trimester Pregnancy
trimester pregnancy Atrophic Vaginitis / vaginosis -happens with aging -Persistent itching, burning and dryness, no odor -Related to decreased levels of estrogen Treatment for atrophic vaginosis Estrogen topical use - Premarin/Estring -Mucopurulent discharge [quizlet.com]
- Foul Smelling Discharge
Medical Treatment If vulvitis does not clear within 3 weeks of trying self-help remedies, or if there is a foul-smelling discharge, talk to your doctor. [womens-health-advice.com]
Gastrointestinal
- Abdominal Pain
Abdominal pain, cervical motion tenderness, or cervical inflammation suggests PID. [merckmanuals.com]
This is especially important if you experience fever, vomiting, or abdominal pain. Talk to Your Doctor Clearly communicating any concerns about discomfort is important during pregnancy. [pregnancy.lovetoknow.com]
[…] strong odor from the penis frequent urge to urinate increased thirst itching of the vagina or outside of the genitals loss of appetite lower back or side pain nausea pain during sexual intercourse pain in the skin around the penis redness, itching, or [drugs.com]
Adverse effects also can include nausea, abdominal pain, and headaches. [www1.cgmh.org.tw]
Cardiovascular
- Hypotension
orthostatic hypotension, hypotension, dehydration, and syncope ) [ Ref ] Metabolic Twenty reports of acidosis have been identified in the US Food and Drug Administration Adverse Event Reporting System (FAERS) database during the period March 2013 through [drugs.com]
At presentation, the patient was found to be febrile (temperature, 38°C), hypotensive (blood pressure, 90/60 mm Hg), and tachycardic (heart rate, 100 beats/min), and she looked very unwell. [academic.oup.com]
It has an additive hypotensive effect when combined with antihypertensives. The recommended dosage is for a maximum duration of 6 months. [www1.cgmh.org.tw]
Musculoskeletal
- Back Pain
Also, groin pain, lower back pain, spotting after intercourse and pain during sexual intercourse can also develop. [groupflorence.com]
pain 3.2 3.1 4.2 Increased urination‡ 1.7 2.9 3.8 Male genital mycotic infections§ 0.3 2.8 2.7 Nausea 2.4 2.8 2.5 Influenza 2.3 2.7 2.3 Dyslipidemia 1.5 2.1 2.5 Constipation 1.5 2.2 1.9 Discomfort with urination 0.7 1.6 2.1 Pain in extremity 1.4 2.0 [rxlist.com]
- Shoulder Pain
Monistat.com says, “‘Vaginal yeast infections do not cause fever, chills, lower abdominal, back, or shoulder pain, foul-smelling vaginal discharge, or a missed period. These may be signs of a sexually transmitted disease (STD) or a tubal pregnancy. [diabeteshealth.com]
Skin
- Skin Rash
You Should Know about Genital Rashes: Rashes can be caused by skin irritants. [seattlechildrens.org]
[…] 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 [drugs.com]
Molluscum Contagiosum Molluscum Contagiosum is a disease that manifests itself with skin rashes caused by a virus called poxvirus. Most frequent transmission is via the common towels and clothes. [groupflorence.com]
- Dry Skin
[…] 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 [drugs.com]
Urogenital
- 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]
[…] inflammatory disease Abdominal or pelvic pain Mucopurulent discharge Fever Cervical motion and/or adnexal tenderness Cultures or PCR for sexually transmitted diseases Postmenopausal women Atrophic (inflammatory) vaginitis Dyspareunia, scant discharge [merckmanuals.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]
Also, groin pain, lower back pain, spotting after intercourse and pain during sexual intercourse can also develop. [groupflorence.com]
- Vaginal Bleeding
When to Call for Vaginal Symptoms Call Doctor or Seek Care Now Could have been caused by sexual abuse Vaginal bleeding Severe genital pain Your child looks or acts very sick You think your child needs to be seen, and the problem is urgent Call Doctor [seattlechildrens.org]
or endometrial cancer Gradual onset of pain, a watery or bloody vaginal discharge (which precedes bleeding), abnormal vaginal bleeding (eg, postmenopausal bleeding, premenopausal recurrent metrorrhagia) Often no other symptoms until the cancer is advanced [merckmanuals.com]
The chief clinical feature of SCC is vaginal bleeding after intercourse or douching; it may be silent in sexually inactive women. [clinicalgate.com]
- Vulvar Pain
[…] vestibule submucosa Produces small ulcerations Treatment Surgical removal of mucosa Vulvar vestibulitis Definition / general Common cause of superficial dyspareunia in young women although vulvar pain likely represents many disorders ( J Sex Med 2008 [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
The case exhibits the importance of considering PCV in a patient with refractory vulvar pain and red welldefined plaques on physical exam. Case Report A 43 year old Caucasian woman presented with vulvar burning for 2 years. [omicsonline.org]
Discharge, burning, and pruritus are the most common symptoms, accompanied by signs of vulvar irritation such as erythema and excoriation of the vulvar skin. [www1.cgmh.org.tw]
- Foul Smelling Vaginal Discharge
Monistat.com says, “‘Vaginal yeast infections do not cause fever, chills, lower abdominal, back, or shoulder pain, foul-smelling vaginal discharge, or a missed period. These may be signs of a sexually transmitted disease (STD) or a tubal pregnancy. [diabeteshealth.com]
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]
Treatment
[…] 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]
Shop for over-the-counter yeast infection treatments. [healthline.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. — The prognosis is unfavorable, most cases terminating fatally, death resulting from septicaemia, or pulmonary embolism. If recovery takes place, cicatrization occurs in from three to six weeks. [homeoint.org]
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]
Prognosis Vulvovaginitis is a disease with minor symptoms and most women respond well to medications. [medical-dictionary.thefreedictionary.com]
Etiology
Several theories have attempted to discover an etiology for this entity. [www1.cgmh.org.tw]
ETIOLOGY. — Uncleanliness is the chief cause of follicular vulvitis. It may also be caused by pregnancy, vaginitis, exanthemata, excessive venery, but it is rarely, if ever, of specific origin. [homeoint.org]
This review describes the etiology, pathogenesis, clinical features, differential diagnosis, management and prevention of VV in diabetes. Keywords: Bacterial vaginosis, candidiasis, SGLT2 inhibitors, Trichomonas.. [pubmed.ncbi.nlm.nih.gov]
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]
Epidemiology
Contagious agalactia of small ruminants: current knowledge concerning epidemiology, diagnosis and control. Bergonier D, Berthelot X, Poumarat F. Rev Sci Tech. 1997 Dec;16(3):848-73. Review. PMID: 9567311 Similar articles Select item 8529984 19. [ncbi.nlm.nih.gov]
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]
An Institute of Epidemiological Research survey of 390 gynecologists found that 44% of the women who were diagnosed with bacterial vaginosis had first treated themselves with over-the-counter yeast infection medications. [medical-dictionary.thefreedictionary.com]
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]
Pathophysiology The vulva, the external genitalia of the female, includes the labia majora and minora, the clitoris, and the vestibule of the vagina. [www1.cgmh.org.tw]
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]
Prevention of STIs is through abstinence or condom use. It is worth noting here that for some women condoms and associated lubricants can be irritating in themselves and, therefore, do not work as preventative measures for vulvitis caused by STIs. [medicalnewstoday.com]