Vulvar pruritus : A Case Report
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...
Vulvar pruritus is a common symptom that often markedly impairs the affected women’s quality of life. Causes of vulvar pruritus are vast and maybe environmental, inflammatory, infectious, or neoplastic. Often, several causes may coexist. Diagnosis may be challenging due to the unique anatomy and inherent properties of the genital and perianal skin. Contact irritant dermatitis is a common cause of vulvar pruritus, followed by lichen sclerosus (LS), fungal infection, and psoriasis.

A 32-year-old pregnant woman with a red scaling plaque and satellite lesions. The typical discharge and swelling of acute candidiasis were absent. The symptoms and lesions resolved after treatment with topical antifungal. All these aspects were consistent with a fungal infection.

Learning points:
-Vulvar pruritus may be challenging for healthcare providers from both a diagnostic and therapeutic point of view.

-Vulvar skin fungal infections, contact irritant dermatitis, psoriasis and differentiated vulvar intraepithelial neoplasia can all present with similar physical findings.

-Clinical history and physical signs are essential, but may not be sufficient to make the correct diagnosis. Biopsy should be performed if clinical doubt persists, if initial treatment fails or if there is concern about possible underlying neoplasia.

Source:https://casereports.bmj.com/content/13/12/e240048
Like
Comment
Share