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]
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]
Skin
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Nummular Dermatitis
dermatitis L30.1 Dyshidrosis [pompholyx] L30.2 Cutaneous autosensitization L30.3 Infective dermatitis L30.4 Erythema intertrigo L30.5 Pityriasis alba Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM [icd10data.com]
Urogenital
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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]
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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]
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Vulvar Burning
• Associated with – Vulvar candidiasis with vulvar burning, – Dyspareunia – Vulvar dysuria. 17. [slideshare.net]
Treatment
OBJECTIVE: To determine the effectiveness of triamcinolone cream in the treatment of non-specific pruritus vulvae. [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]
[…] get improved with specific treatment. [dramitdutta.com]
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]
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]
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]
Pathophysiology Pruritus originates within the skin's free nerve endings, which are most heavily concentrated in the wrists and ankles. [aafp.org]
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]