Answer to the last #DiagnosticDilemma
Now open: Certificate Course in Management of Covid-19 by Govt. Of Gujarat and PlexusMDKnow more...Now open: Certificate Course in Management of Covid-19 by Govt. Of Gujarat and PlexusMDKnow more...
Genital lichen simplex chronicus
In this case, the white discharge was noted on vaginal examination, which was suspicious for vaginal candidiasis. Wet mount examination revealed multiple candida hyphae and spores, confirming vaginal candidiasis. This vulvovaginal fungal infection caused persistent vulvar pruritus, with subsequent development of LSC due to prolonged scratching. The patient was treated with both oral fluconazole and topical mometasone ointment, for vaginal candidiasis and vulvar LSC, respectively. Mometasone ointment is categorized as a class II (high potency) topical steroid. However, it is worth noting that mometasone cream is categorized as a class IV (medium potency) topical steroid.

Successful treatment of LSC requires addressing 4 elements, including recognizing and treating the underlying etiology, restoring barrier function, reducing inflammation, and interrupting the itch-scratch cycle. Lichen simplex chronicus (LSC) is an inflammatory skin condition that develops secondary to persistent rubbing or scratching of the skin. Although LSC can occur anywhere on the body, genital LSC develops in association with a genital itch, with the itch often described as intense and unrelenting.

#DiagnosticDilemma:https://www.plexusmd.com/md/post?pfpid=55082

Source:
https://www.mdedge.com/obgyn/article/211351/gynecology/persistent-vulvar-itch-what-diagnosis?channel=29411
Dr. A●●●●●l s●●●●a and 2 other likes this2 shares
Like
Comment
Share