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Summary

Vulvar Discharge and Vulvitis Summary Notes

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A quick summary of the most common causes of vulvar/vaginal itch/discharge/discomfort. Created in clerkship while preparing for the LMCC.

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Licentiate Of The Medical Council Of Canada
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Uploaded on
February 1, 2024
Number of pages
10
Written in
2021/2022
Type
Summary

Subjects

  • vulva
  • vagina
  • vaginal discharge
  • gyne
  • obgyne
  • gynecology
  • medical
  • medical school
  • summary notes
  • women
  • womens health
  • summary

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Vaginal Discharge and Vulvitis

, Vuluvar Dystrophies
Causes of vulvar itch

1. Lichen sclerosis (M = balanitis xerotica obliterans)
• 1:300-1:1000 F
• Bimodal age distribution
• AUTOIMMUNE
• Associated with alopecia, vitiligo, thyroid disorders, pernicious anemia
• 10-20% present with extra-genital lesions (trunk)
• Clinical presentation: itchy, white skin, figure 8 appearance, architectural distortion(fusion of clitoral hood, labia minora resorption
• Investigations: biopsy
• Tx: high potency steroid (clobetasol)
• Complications: SCC

2. Lichen simplex chronicus (neurodermatitis)
• Very similar to eczema
• Itch-scratch cycle
• Mainly labia majora
• Normal architecture
• Patches/plaques or erythematous lichenified skin
• Tx: minimize irritants, steroid cream (betamethasone), stop scratching




Note: Clobetasol should be used for scalp, hands, feet, and vulva. Other steroids are not potent enough.
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