"Vulvitis"

Gliflozin (SGLT2 inhibitor) induced vulvitis. Sodium-glucose co-transporter 2 (SGLT2) inhibitors, or gliflozins, are used as mono or combined therapy in the management of diabetes. Genital infections are the most common reported adverse effect, as a result of induced glycosuria. Cutaneous features of patients experiencing vulval symptoms while on SGLT2 inhibitor therapy have not been clearly described in published literature. We have observed a specific inflammatory vulvitis with psoriasiform features in patients taking SGLT2 inhibitors, related to candidiasis in most cases. Demographic and treatment outcomes of 11 patients with characteristic inflammatory changes after starting SGLT2 inhibitors were extracted from electronic records. Ninety-one percent (n = 10) had candidiasis, treated

Vulvitis (Causes, Symptoms, and Treatment) We value your privacyWe and our partners store and/or access information on a device, such as cookies and process personal data, such as unique identifiers and standard information sent by a device for personalised ads and content, ad and content measurement, and audience insights, as well as to develop and improve products. With your permission we to This article is for Medical ProfessionalsProfessional Reference articles are designed for health professionals to use. They are written by UK doctors and based on research evidence, UK and European Guidelines. You may find the Vulval Problems article more useful, or one of our other health articles.Read COVID-19 guidance from NICEIN THIS ARTICLEWhat is vulvitis?Vulvitis causesEpidemiologyVulvitis

Zoon Vulvitis Treated Successfully With Platelet-Rich Plasma: First Case Reported

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Vulvitis Vulvitis * Versions * Standard Desktop * Legacy Desktop * Mobile Web * Iphone/Ipad App * * Help Toggle navigation * * Home * Books: A to N * Cardiovascular Medicine * Dentistry * Dermatology * Emergency Medicine * Endocrinology * Gastroenterology * Geriatric Medicine * Gynecology to Palliative Care * * Administration * Patient Satisfaction * Documentation 4 * * advertisement * Home * Gynecology Book * Vulvar Disorders Chapter * Vulvitis Vulvitis Aka: Vulvitis Gynecology Vulvar Disorders Chapter * Dermatology * Vulvar Lichen Planus * Vulvar Lichen Sclerosus * Vulvitis * Cyclic Vulvovaginitis * Vulvar

, but these are not specific for T. vaginalis. Occasionally, the presenting complaint is of lower abdominal discomfort or vulval ulceration.On examination, vaginal discharge may be seen (in up to 70% of women). Vaginal discharge varies in consistency from thin and scanty to profuse and thick; the classical frothy yellow discharge occurs in 10–30% of women. Other signs include vulvitis and vaginitis. About 2% of women

consent and offer a chaperone.Inspect the vulva for obvious discharge, lesions, vulvitis, ulcers, and other changes.Perform a speculum examination (except in a pregnant woman with a low-lying placenta) to visualize the cervix and vagina to look for foreign bodies and characteristic signs of an infective or non-infective cause of vaginal discharge.Test the pH of the vaginal discharge (using a narrow

or not possible, perform the following examination and investigations (obtain consent and offer a chaperone). * Palpate the abdomen (if appropriate)to assess for tenderness or a mass (which may indicate malignancy). * Inspect the vulvafor lesions, discharge, vulvitis, ulcers, and any other changes. * Perform a speculum examination (except in a pregnant woman with a low-lying placenta)to visualize the cervix

symptoms include vaginal discharge (in up to 70% of women), vulval itching, dysuria, or offensive odour, but these are not specific to trichomoniasis. Vaginal discharge varies in consistency from thin and scanty to profuse and thick. The classic discharge is frothy and yellow-green, and occurs in 10–30% of infected women. * Other symptoms include vulvitis, vaginitis, vulval soreness, vulval ulceration

for TV.•Occasionally the presenting complaint is of lower ab-dominal discomfort or vulval ulceration.Signs•Vaginal discharge is present in up to 70% - varying inconsistency from thin and scanty to profuse and thick; theclassical frothy yellow discharge occurs in 10–30% ofwomen.•Vulvitis and vaginitis are associated with trichomoniasis.•Approximately 2% of patients will have strawberry cervixappearance transmission15–18and there may be an increased risk of TV infection in thosethat are HIV positive.19DiagnosisTesting for TV should be undertaken in patients com-plaining of vaginal discharge or vulvitis, or found to haveevidence of vulvitis, and/or vaginitis on examination (Grade1A). Testing is recommended for TV contacts and should beconsidered in those with persistent penile urethritis (Grade2B).Screening

, when it is termed SARA. Re-active arthritis also encompasses Reiter’s syndrome, with itsclassic triad of arthritis, conjunctivitis and urethritis, with orwithout cutaneous manifestations such as keratodermablennorrhagica or circinate balanitis/vulvitis. Today, themajority of patients do not present with the triad and theterm Reiter’s syndrome is no longer used in clinical practice.Reactive arthritis iritis, corneal ul-ceration, keratitis, intra-ocular haemorrhage, optic neuritisand posterior uveitis. These are all rare but reportedmanifestations.16,18–20,29,30,33,43Circinate balanitis or vulvitis is present in 14–40% ofpatients.16,18,20,29,30,35,43Extra-genital mucocutaneousfeatures include psoriasiform eruptions (12%),19kera-toderma blennorrhagica (5–33%)16,18–20,29,30,33,35,43andnail dystrophy

is of lower ab-dominal discomfort or vulval ulceration.Signs•Vaginal discharge is present in up to 70% - varying inconsistency from thin and scanty to profuse and thick; theclassical frothy yellow discharge occurs in 10–30% ofwomen.•Vulvitis and vaginitis are associated with trichomoniasis.•Approximately 2% of patients will have strawberry cervixappearance to the naked eye. Higher rates are seen be an increased risk of TV infection in thosethat are HIV positive.19DiagnosisTesting for TV should be undertaken in patients com-plaining of vaginal discharge or vulvitis, or found to haveevidence of vulvitis, and/or vaginitis on examination (Grade1A). Testing is recommended for TV contacts and should beconsidered in those with persistent penile urethritis (Grade2B).Screening of asymptomatic women may

/o pelvic pain (see PID guidelinewww.nzshs.org/guidelines).• Abnormal cervix: Refer for colposcopy.Treatment• Presumptive chlamydia +/- gonorrhoea.• Azithromycin 1g stat plus specific treatmentfor gonorrhoea if a contact of gonorrhoea(see Gonorrhoea guideline www.nzshs.org/guidelines).Examination findings •Vulvitis/vaginitis.• Thick white curd-like vaginaldischarge.Treatment• Presumptive candidiasis.• Topical or oral antifungalsuch as clotrimazole orfluconazole.Examination findings• Offensive purulent frothyvaginal discharge +/–•Vulvitis/vaginitis.Treatment• Presumptive trichomoniasis.• Metronidazole 2g po stat ormetronidazole 400mg potwice daily for 7 daysExamination findings•NO vaginitis or vulvitis.• Fishy smelling white/greyadherent vaginal discharge.Treatment• Presumptive

the evidence and make recommendations as detailed in the guidance. The following reference sources were used to provide a comprehensive basis for the guideline: 1. Medline, Embase, Cochrane and CINAHL Search a. January 2007-August 2016+ b. The search strategy comprised the following terms in the title or abstract: [Vagina* OR vulva* OR vulvovaginal OR vulvo-vaginal OR vaginosis OR vaginitis OR vulvitis