Contact vulvovaginitis: Difference between revisions
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Revision as of 14:21, 22 March 2016
Background
- Due to exposure of vulvar epithelium and vaginal mucosa to irritant or allergen
- May occur in virgins
Causes
- Chemicals (bubble baths)
- Poor hygiene
- Allergic dermatitis
- Parasitic infestation (pinworms)
Clinical Features
Differential Diagnosis
Vulvovaginitis
- Bacterial vaginosis
- Candida vaginitis
- Trichomonas vaginalis
- Contact vulvovaginitis
- Bubble baths and soaps
- Deodorants, powders, and douches
- Clothing
- Atrophic vaginitis due to lack of estrogen (AKA Vulvovaginal atrophy)
- Lichen sclerosus
- Tinea cruris
- Chlamydia/Gonorrhea infection
- Pinworms
- Vaginal foreign body
- Toilet paper
- Other
- Genitourinary syndrome of menopause
- Foreign body
- Allergic reaction
- Normal physiologic discharge
Diagnosis
- Diagnosis of exclusion
- Rule-out infectious cause first
Management
- Consider topical corticosteroids applied BID-TID x2-3d
Disposition
- Outpatient