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Pruritus Vulvae

Pruritus of the Vulva


Presentation

  • This unusual case is presented as the presenting symptoms and macroscopic appearance was atypical for syringoma.[ncbi.nlm.nih.gov]
  • […] syringoma of the vulva causing severe vulval pruritus is presented.[semanticscholar.org]
  • We report 2 young women who presented with pruritus vulvae. Examination revealed multiple bilateral skin-coloured papules over the labia majora. Histology showed syringoma.[ncbi.nlm.nih.gov]
  • Abstract This article has attempted to summarize the various causes of vulvar pruritus and present a framework for evaluating these patients.[ncbi.nlm.nih.gov]
  • CONCLUSION: This study does not provide evidence to support the routine determination of iron status in patients presenting to genitourinary medicine clinics with pruritus vulvae from all causes.[ncbi.nlm.nih.gov]
Hematochezia
  • Haug Browse recently published Learning/CME Learning/CME View all learning/CME CME Partial Oral versus Intravenous Antibiotic Treatment of Endocarditis Case 4-2019: An 18-Year-Old Man with Abdominal Pain and Hematochezia Bridging the Gap Challenge Yourself[nejm.org]
Vaginal Dryness
  • She had actually been having perimenopausal symptoms for some time, and she described having vaginal dryness before the itch started. She wasn’t depressed, although it had certainly had a huge impact on her personal and professional life.[drmortons.co.uk]
  • A drop in the hormone estrogen causes vaginal dryness Vaginal yeast infection Systemic allergies, including food allergies Disorder of the vagina or rectum, such as vaginitis or haemorrhoids Risk increases with Stress Days prior to menstruation Hot, humid[mtatva.com]
  • The low oestrogen levels can also cause vaginal dryness. Low oestrogen levels can start before the actual menopause, ie when you are still having periods.[patient.info]
Vulvar Pain
  • Some problems you can have with the vulvar area include Vaginitis or vulvovaginitis, swelling or infection of the vulva and vagina Skin problems due to allergy Vulvar cancer Vulvodynia, or vulvar pain Symptoms may include redness, itching, pain, or cracks[icdlist.com]
  • Vulvar pain and dyspareunia[pelvicguru.com]
  • As opposed to vulvar pain which may occur in the absence of visible findings (vulvodynia), pruritus vulvae is almost always associated with visible lesions related to specific conditions.[link.springer.com]
Vulvar Burning
  • . • Associated with – Vulvar candidiasis with vulvar burning, – Dyspareunia – Vulvar dysuria. 17.[slideshare.net]
Female Sexual Dysfunction
  • Benefits: lower abdominal pain, hiatal hernia, pain in the extremities, pain all over the body, dysuria, pruritus, manic disorders, pain in the external genitalia, arthritis of the knee, low sperm count, infertility in male or female, sexual dysfunction[herbalshop.com]

Workup

Sarcoptes Scabiei
  • History of genital lice, scabies or contact history with an infected person Local infestation [6] with genital lice [8], such as Phthirus pubis or Sarcoptes scabiei [7] may present as pruritus vulvae.[explainmedicine.com]

Treatment

  • OBJECTIVE: To determine the effectiveness of triamcinolone cream in the treatment of non-specific pruritus vulvae.[ncbi.nlm.nih.gov]
  • Treatment with alcohol was significantly better than treatment with water (p less than 0.001).[ncbi.nlm.nih.gov]
  • Pruritus Vulvae Treatment Successful treatment depends on two cardinal principles, namely, to remove any underlying cause and to stop further damage to the skin by scratching or by unsuitable application.[naturalhomecures.com]
  • The clinical features of each and a suggested treatment regime are given.[ncbi.nlm.nih.gov]
  • Initial treatment is conservative.[tipsdiscover.com]

Prognosis

  • Diet Dietary alterations include avoidance of: Coffee and other caffeine-containing beverages Tomatoes Peanuts Patient Education American Congress of Obstetricians and Gynecologists at www.acog.org National Vulvodynia Foundation at Prognosis Conservative[tipsdiscover.com]
  • Does treatment of vulvar lichen sclerosus influence its prognosis? Arch Dermatol. 2004;140:702–6. CrossRef PubMed Google Scholar 11. Cooper SM, Ali I, Baldo M, et al.[link.springer.com]
  • Lichen sclerosus is not routinely treated with surgery unless there is cancer, severe dyspareunia or clitoral phimosis. 1 , 2 , 5 Anecdotal reports have indicated that photodynamic therapy may be effective. 4 What should this patient be told about the prognosis[ncbi.nlm.nih.gov]
  • Fetal prognosis is unaffected. Recurrences in later pregnancies are to expect. The treatment consists in the first place of topical corticosteroids.[ncbi.nlm.nih.gov]

Etiology

  • Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology.[icd10coded.com]
  • Etiology and Pathophysiology Vulvar tissue is more permeable than exposed skin due to differences in structure, occlusion, hydration, and susceptibility to friction.[unboundmedicine.com]
  • Essential pruritus vulvae is the condition in which no etiology can be identified. Regardless of etiology, long-standing pruritus vulvae may result in lichen simplex chronicus.[clinicalgate.com]
  • Etiology Local irritants: Perfumes Soaps Laundry detergent Douches Toilet paper Sanitary napkins Commonly Associated Conditions Infectious etiology Vaginal or vulvar candida Gardnerella vaginalis Trichomonas Human Papilloma Virus Herpes Simplex Virus[tipsdiscover.com]
  • If a primary diagnosis other etiologies must be excluded. Pruritus vulvae as a primary diagnosis may also be more appropriat... Pruritus vulvae is a diagnosis of exclusion.[5minuteconsult.com]

Epidemiology

  • Epidemiology Symptoms may occur at any age during a woman’s lifetime. Young girls most commonly have infectious or hygiene etiology. The primary diagnosis is more common in postmenopausal women.[unboundmedicine.com]
  • Vulvovaginal candidiasis: epidemiology, microbiology and risk factors. Crit Rev Microbiol. 2015;21:1–23. CrossRef Google Scholar 21. Griffin JR, Davis MD.[link.springer.com]
  • Epidemiology Symptoms may occur at any given age during a woman’s lifetime.[tipsdiscover.com]
  • The epidemiology, pathogenesis, and diagnosis of vulvovaginal candidosis: a mycological perspective. Critical Reviews in Microbiology . 2011; 37 (3):250–261. [ PubMed ] 18. Mendling W, Brasch J.[ncbi.nlm.nih.gov]
Sex distribution
Age distribution

Pathophysiology

  • Etiology and Pathophysiology Vulvar tissue is more permeable than exposed skin due to differences in structure, occlusion, hydration, and susceptibility to friction.[unboundmedicine.com]
  • The pathophysiology is unknown, but a relationship with damage of the collagen fibers due to distension and overstretching of skin is suspected [ 22 ].[ncbi.nlm.nih.gov]

Prevention

  • This can help prevent itchy vulva. Avoid sharing personal belongings and items of personal care to avoid cross contamination and thereby preventing pruritus vulvae or itchy vulva.[epainassist.com]
  • With treatment and follow-up preventive care, most cases of pruritus vulvae can be cured. Related wiseGEEK Articles[wisegeek.com]
  • Wear cotton undergarments as it allows free movement of air and prevents itching.[tandurust.com]
  • The information presented here is not intended to diagnose, treat, cure or prevent any disease. Read disclaimer.[gulfdoctor.net]

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