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1.
BMC Res Notes ; 12(1): 775, 2019 Nov 27.
Artigo em Inglês | MEDLINE | ID: mdl-31775911

RESUMO

OBJECTIVE: This study was done to determine the patterns of Candida spp. causing vaginitis and associated factors among pregnant women attending antennal clinic in Mwanza, Tanzania. RESULTS: A total of 197 (65.6%) out of 300 non-repetitive swabs had positive growth of Candida spp. Candida albicans 125 (63.4%) was the most predominant isolated specie followed by C. tropicalis 35 (17.8%) and C. glabrata 33 (16.8%). Laboratory confirmed candida vaginitis was independently predicted by douching practices (OR 3.2, 95% CI 1.3-7.5 P = 0.007), history of antibiotics use (OR 1.8, 95% CI 1.02-3.0, P = 0.04) and low social economic status (OR 2.04, 95% CI 1.1-3.7 P = 0.02). About two-third of pregnant women with clinical features of vaginitis attending antenatal clinic in Mwanza, Tanzania were confirmed to have Candida vaginitis mainly caused by Candida albicans.


Assuntos
Candida albicans/isolamento & purificação , Candidíase/microbiologia , Complicações Infecciosas na Gravidez/microbiologia , Vulvite/microbiologia , Adulto , Candida albicans/efeitos dos fármacos , Candida glabrata/isolamento & purificação , Candida tropicalis/isolamento & purificação , Candidíase/diagnóstico , Estudos Transversais , Demografia , Feminino , Humanos , Higiene/normas , Gravidez , Cuidado Pré-Natal , Tanzânia , Vulvite/diagnóstico , Adulto Jovem
4.
Ceska Gynekol ; 83(4): 286-290, 2018.
Artigo em Inglês | MEDLINE | ID: mdl-30441960

RESUMO

OBJECTIVE: Description of finding out rare disease Zoon vullvitis. Desing: Case report and differential diagnosis. SETTING: Department of Obstetric and Gynecology, University Hospital Ostrava. CASE REPORT: Zoon vulvitis or plasma cell vulvitis (PCV) belongs to extremely rare and often misdiagnosed inflammatory disease of the vulva. Lesions may look like shiny, sharply bordered , erythematosus patches or macular lesions. Less than 50 cases have been reported. This article is devoted to clinical findings, differential diagnosis and treatment of PCV. We present one clinical case with typical clinical and histopathological manifestations. Risk of dysplasia exists and long-term follow-up is desirable.


Assuntos
Vulvite/diagnóstico , Idoso , Diagnóstico Diferencial , Feminino , Humanos , Vulvite/patologia
5.
Dermatitis ; 29(5): 233-243, 2018.
Artigo em Inglês | MEDLINE | ID: mdl-30179968

RESUMO

Allergic contact dermatitis is an important diagnostic consideration in the evaluation of patients presenting with vulvar complaints. The high prevalence of contact sensitization in the vulvar region is likely multifactorial. We review the extant literature regarding key predisposing factors in the pathogenesis of vulvar allergic contact dermatitis, as well as the most commonly implicated allergens as identified by a number of retrospective studies and case series. On the basis of our findings, we provide diagnostic and therapeutic recommendations for practicing clinicians.


Assuntos
Dermatite Alérgica de Contato/etiologia , Vulvite/etiologia , Alérgenos/efeitos adversos , Causalidade , Dermatite Alérgica de Contato/diagnóstico , Feminino , Humanos , Testes do Emplastro , Vulvite/diagnóstico
6.
Cas Lek Cesk ; 157(7): 354-357, 2018 Dec 03.
Artigo em Inglês | MEDLINE | ID: mdl-30650979

RESUMO

Disorders of vulva and vagina are the most common problem in childhood in gynecological practice. As child is not the little adult, as young girl is not little woman. Childhood is characterized by changing hormone levels, which influenced hormone-dependent tissues. Etiology and diagnostics of this most common diseases are very often different of the same problem in adult woman. The most common diseases in childhood is synechia vulvae, inflammation of vulva and vagina called vulvovaginitis and skin disorders. It is very important to know everything about diagnostics and treatment to help young girls. Key words: vulvovaginitis, lichen sclerosus, synechia vulvae, child rest period, sexual development period, yeast infection.


Assuntos
Vaginite , Vulvite , Adolescente , Criança , Feminino , Humanos , Vaginite/diagnóstico , Vaginite/terapia , Vulvite/diagnóstico , Vulvite/terapia
9.
Acta pediatr. esp ; 74(8): e189-e194, sept. 2016. ilus
Artigo em Espanhol | IBECS | ID: ibc-156147

RESUMO

El perineal groove, o surco perineal, es una malformación benigna y poco frecuente que tiende a la resolución espontánea. De forma general, se caracteriza por un surco húmedo en la línea media perineal que se extiende desde la horquilla vulvar hasta el ano. El surco perineal se presenta más frecuentemente en niñas, aunque también se ha descrito en varones. Se ignora su incidencia real, debido en parte al desconocimiento del mismo por parte de los profesionales. Presentamos el caso de una recién nacida de 2 días de vida en la que se detecta una lesión lineal en el periné. Es importante su reconocimiento dado que entraña un amplio diagnóstico diferencial de lesiones, incluidas algunas con importantes connotaciones legales por la zona en la que se presenta (AU)


The perineal groove, or perineal sulcus, is an uncommon and benign anomaly which tends to resolve spontaneously. In general, it has been described as a wet sulcus in the midline perineum which extends from the fourchette to the anus. Although the perineal groove appears more frequently in girls, it has been described in males too. The incidence of perineal groove is ignored, it is due to the lack of knowledge of it by health professionals. We report one case of a 2-days-old baby girl. There was found a lineal lesion in the perineum during her clinical examination. Its recognition is important since it involves a wide differential diagnosis of injures, including some of them with important legal implications because of the area in which it is presented (AU)


Assuntos
Humanos , Feminino , Recém-Nascido , Períneo/anormalidades , Períneo/cirurgia , Diagnóstico Diferencial , Reto/anormalidades , Prurido/complicações , Prurido/diagnóstico , Índice de Apgar , Vulvite/complicações , Vulvite/diagnóstico , Vulvite/cirurgia , Infecções Urinárias/complicações , Infecções Urinárias/diagnóstico
10.
Clin Obstet Gynecol ; 58(3): 464-75, 2015 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-26125955

RESUMO

Inflammatory vulvar dermatoses affect many women, but are likely underdiagnosed due to embarrassment and reluctance to visit a health care provider. Although itch and pain are common presenting symptoms, the physical examination can help distinguish between different disease entities. Because many women's health providers have minimal training in the categorization and management of dermatologic disease, definitive diagnosis and management can be difficult. Herein, strategies for diagnosing vulvar lichen sclerosus, lichen planus, contact dermatitis, lichen simplex chronicus, and psoriasis are discussed along with basic management of these diseases, which commonly involves decreasing inflammation through behavioral change, gentle skin care, topical corticosteroids, and systemic therapies.


Assuntos
Dermatopatias/diagnóstico , Doenças da Vulva/diagnóstico , Administração Cutânea , Administração Oral , Corticosteroides/uso terapêutico , Dermatite de Contato/diagnóstico , Dermatite de Contato/terapia , Feminino , Humanos , Líquen Plano/diagnóstico , Líquen Plano/terapia , Neurodermatite/diagnóstico , Neurodermatite/terapia , Psoríase/diagnóstico , Psoríase/terapia , Higiene da Pele/métodos , Dermatopatias/terapia , Doenças da Vulva/terapia , Líquen Escleroso Vulvar/diagnóstico , Líquen Escleroso Vulvar/terapia , Vulvite/diagnóstico , Vulvite/terapia
11.
Praxis (Bern 1994) ; 104(13): 689-93, 2015 Jun 17.
Artigo em Alemão | MEDLINE | ID: mdl-26081381

RESUMO

Vuval pathologies manifested by allodynia and burning sensations can be due to infection, inflammatory dermatoses or other causes. Infective as well as certain inflammatory diseases, e.g. drug eruptions, allergic eczemas, irritative dermatitis/vulvitis, Behcet's Syndrome and pemphigus/pemphigoid usually respond well to conservative treatment. The category of inflammatory diseases also contains pathologies that in certain circumstances do require a surgical intervention, e.g. Lichen ruber planus/Lichen sclerosus, Condyloma, scars, premalignant lesions (VIN, genital M. Paget) and cancer. Vulodynia also can cause some stinging to the vulvar skin. The surgical aspects relating to the treatment of the benign and premalignant pathologies indicated above are mentioned in this mini-review.


Assuntos
Lesões Pré-Cancerosas/diagnóstico , Lesões Pré-Cancerosas/cirurgia , Neoplasias Vulvares/diagnóstico , Neoplasias Vulvares/cirurgia , Vulvite/diagnóstico , Vulvite/cirurgia , Vulvodinia/etiologia , Vulvodinia/cirurgia , Diagnóstico Diferencial , Feminino , Humanos , Lesões Pré-Cancerosas/etiologia , Lesões Pré-Cancerosas/patologia , Vulva/patologia , Vulva/cirurgia , Neoplasias Vulvares/etiologia , Neoplasias Vulvares/patologia , Vulvite/etiologia , Vulvite/patologia , Vulvodinia/patologia
12.
Indian J Dermatol Venereol Leprol ; 79(6): 799-801, 2013.
Artigo em Inglês | MEDLINE | ID: mdl-24177613

RESUMO

Granulomatous cheilitis and granulomatous vulvitis are rare disorders characterized by painless swelling of lips and vulva, respectively. Histopathology of both conditions show non-caseating epithelioid cell granulomas in the dermis. Both disorders have been associated with Crohn's disease rarely. Occurrence of the two conditions in the same patient is extremely infrequent. We hereby report, the association of granulomatous cheilitis with granulomatous vulvitis in a 30-year-old female.


Assuntos
Síndrome de Melkersson-Rosenthal/complicações , Síndrome de Melkersson-Rosenthal/diagnóstico , Vulvite/complicações , Vulvite/diagnóstico , Adulto , Feminino , Seguimentos , Humanos
13.
Ned Tijdschr Geneeskd ; 157(7): A5685, 2013.
Artigo em Holandês | MEDLINE | ID: mdl-23406643

RESUMO

A 52-year-old female with dyspareunia presented with red-brown maculae at the vulva.Biopsy revealed an inflammatory cell infiltrate mostly consisting of plasma cells, and the diagnosis 'vulvitis circumscripta plasmacellularis' was established.A biopsy is mandatory to confirm this rare benign inflammatory disorder of the vulva.


Assuntos
Dispareunia/etiologia , Vulva/patologia , Vulvite/complicações , Vulvite/diagnóstico , Biópsia , Diagnóstico Diferencial , Feminino , Glucocorticoides/uso terapêutico , Humanos , Pessoa de Meia-Idade , Vulvite/tratamento farmacológico , Vulvite/patologia
14.
Obstet Gynecol ; 120(3): 689-706, 2012 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-22914482

RESUMO

Pregnancies complicated by severe sepsis and septic shock are associated with increased rates of preterm labor, fetal infection, and preterm delivery. Sepsis onset in pregnancy can be insidious, and patients may appear deceptively well before rapidly deteriorating with the development of septic shock, multiple organ dysfunction syndrome, or death. The outcome and survivability in severe sepsis and septic shock in pregnancy are improved with early detection, prompt recognition of the source of infection, and targeted therapy. This improvement can be achieved by formulating a stepwise approach that consists of early provision of time-sensitive interventions such as: aggressive hydration (20 mL/kg of normal saline over the first hour), initiation of appropriate empiric intravenous antibiotics (gentamicin, clindamycin, and penicillin) within 1 hour of diagnosis, central hemodynamic monitoring, and the involvement of infectious disease specialists and critical care specialists familiar with the physiologic changes in pregnancy. Thorough physical examination and imaging techniques or empiric exploratory laparotomy are suggested to identify the septic source. Even with appropriate antibiotic therapy, patients may continue to deteriorate unless septic foci (ie, abscess, necrotic tissue) are surgically excised. The decision for delivery in the setting of antepartum severe sepsis or septic shock can be challenging but must be based on gestational age, maternal status, and fetal status. The natural inclination is to proceed with emergent delivery for a concerning fetal status, but it is imperative to stabilize the mother first, because in doing so the fetal status will likewise improve. Aggressive [corrected] treatment of sepsis can be expected to reduce the progression to severe sepsis and septic shock and prevention strategies can include preoperative skin preparations and prophylactic antibiotic therapy as well as appropriate immunizations.


Assuntos
Complicações Infecciosas na Gravidez , Sepse , Corticosteroides/uso terapêutico , Antibacterianos/uso terapêutico , Transfusão de Sangue , Corioamnionite/diagnóstico , Corioamnionite/terapia , Endometrite/diagnóstico , Endometrite/terapia , Fasciite Necrosante/diagnóstico , Fasciite Necrosante/terapia , Feminino , Hidratação , Humanos , Insulina/uso terapêutico , Pneumonia/diagnóstico , Pneumonia/terapia , Gravidez , Complicações Infecciosas na Gravidez/diagnóstico , Complicações Infecciosas na Gravidez/epidemiologia , Complicações Infecciosas na Gravidez/etiologia , Complicações Infecciosas na Gravidez/terapia , Pielonefrite/diagnóstico , Pielonefrite/terapia , Ressuscitação , Sepse/diagnóstico , Sepse/epidemiologia , Sepse/etiologia , Sepse/terapia , Choque Séptico/diagnóstico , Choque Séptico/etiologia , Choque Séptico/prevenção & controle , Choque Séptico/terapia , Estados Unidos/epidemiologia , Vulvite/diagnóstico , Vulvite/terapia
15.
Pediatr. aten. prim ; 13(52): 601-609, oct.-dic. 2011.
Artigo em Espanhol | IBECS | ID: ibc-97059

RESUMO

La vulvovaginitis es el problema ginecológico más frecuente en las niñas prepúberes, favorecido por la menor protección del introito vaginal a los agentes externos y la presencia de factores anatómicos (proximidad del ano, labios mayores y menores menos desarrollados, etc.) y hormonales (hipoestrogenismo). A esto se suma el efecto de productos irritantes locales y la coexistencia en ocasiones de malos hábitos higiénicos. La mayoría de las vulvovaginitis en las niñas son inespecíficas, aunque en un porcentaje variable pueden aislarse bacterias patógenas específicas (entéricas, respiratorias, o de transmisión sexual), o ser secundarias a otros procesos como oxiurasis o cuerpos extraños intravaginales. En el presente artículo analizaremos la etiología, la patogénesis, la clínica y el manejo de esta entidad en la infancia, y realizaremos algunas consideraciones clínicas y microbiológicas sobre distintos cuadros con etiología específica(AU)


Vulvovaginitis is the most common gynecological problem in prepubertal girls, helped by lower introitus protection to external agents and the presence of anatomical (proximity of anus, minor and major labia less developed,...) and hormonal factors (low estrogen concentration) This is compounded by the effect of local irritants and sometimes co-existence of poor hygiene. Most vulvovaginitis in girls are nonspecific, although specific pathogenic bacteria (enteric, respiratory, or sexually transmitted) can be isolated and they can be also secondary to other causes as oxiurasis, or intravaginal foreign bodies. In this article we will analyze the etiology, pathogenesis, clinical features and management of this disorder in childhood, and we will have some clinical and microbiological considerations of different diseases with specific etiology(AU)


Assuntos
Humanos , Feminino , Criança , Vulvovaginite/epidemiologia , Vulvite/complicações , Vulvite/diagnóstico , Enterobius/isolamento & purificação , Enterobius/patogenicidade , Candidíase/complicações , Doenças Bacterianas Sexualmente Transmissíveis/complicações , Corpos Estranhos/complicações , Antibacterianos/uso terapêutico , Vulvovaginite/complicações , Vulvovaginite/diagnóstico , Vulvovaginite/fisiopatologia , Vulvite/fisiopatologia , Vulvite , Menarca/fisiologia
16.
J Low Genit Tract Dis ; 15(4): 322-4, 2011 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-21817920

RESUMO

Inflammation of the vulva can present as a manifestation of a localized problem or as part of a systemic disorder. Granulomatous vulvitis is a rare inflammatory condition that has histologic similarities to Crohn disease. Clinically, it presents with painless, chronic relapsing erythema, and edema, typically affecting the genital area. We report a case of extensive granulomatous vulvitis in a patient with no gastrointestinal evidence of Crohn disease. We describe difficulties with diagnosis and limitations in the treatment of isolated vulval granulomatous disease and aim to promote earlier recognition of the disease.


Assuntos
Granuloma/patologia , Vulva/patologia , Vulvite/diagnóstico , Vulvite/patologia , Doença Crônica , Feminino , Histocitoquímica , Humanos , Inflamação/patologia , Microscopia , Pessoa de Meia-Idade , Terapêutica
19.
Dermatol. argent ; 17(3): 243-245, mayo-jun. 2011. ilus
Artigo em Espanhol | LILACS | ID: lil-724165

RESUMO

La vulvitis de Zoon fue descripta por primera vez por Zoon y Garnier en 1954. Se trata de una inflamación crónica de la mucosa vaginal, de baja incidencia. La etiopatogenia es desconocida y hasta la fecha no hay descripto ningún tratamiento efectivo. Las características clínicas e histopatológicas remedan su contrapartida masculina, la clásica balanitis circunscripta plasmocelular o de Zoon.


Zoon´s vulvitis was first described by Zoon and Garnier in 1954. It´s a low- prevalence, chronicinflammation of the vaginal mucosa. The etiology is unknown, and an effective standardtreatment has not yet been described. Its clinical and histophatologic features resemble the malecounterpart known as Zoon´s balanitis.


Assuntos
Humanos , Pessoa de Meia-Idade , Feminino , Vulvite/diagnóstico , Vulvite/patologia , Vulvite/tratamento farmacológico , Vulva/patologia
20.
Dermatol Clin ; 28(4): 697-706, 2010 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-20883913

RESUMO

Contact dermatitis of the vulva is common, with irritant contact dermatitis occurring more frequently than allergic contact dermatitis. Patients with chronic vulvar dermatoses are at greater risk and should continually be reassessed for possible contact dermatitis. Comprehensive and specific questioning about hygiene practices and product use is necessary to elicit a history of contactant use. Patch testing is required to identify relevant contact allergens, the most common of which include medicaments, preservatives, and fragrances. Patient education and follow-up are essential in optimizing treatment and preventing recurrence of vulvar contact dermatitis.


Assuntos
Dermatite Alérgica de Contato/diagnóstico , Dermatite Alérgica de Contato/tratamento farmacológico , Dermatite Irritante/diagnóstico , Dermatite Irritante/tratamento farmacológico , Vulvite/diagnóstico , Vulvite/tratamento farmacológico , Corticosteroides/uso terapêutico , Anti-Infecciosos/uso terapêutico , Estrogênios/uso terapêutico , Feminino , Antagonistas dos Receptores Histamínicos/uso terapêutico , Humanos , Vulvite/etiologia
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