Cases reported "Vulvar Diseases"

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1/5. Successful management of vulvar adhesions with potent topical corticosteroids: a case report.

    BACKGROUND: Vulvar adhesions are a rarely reported but clinically recognized complication of severe ulcerations following herpes genitalis. The condition is avoidable with adequate pharmacologic treatment, hygiene, separation of the labia and topical application of skin emollients. CASE: Vulvar agglutination was diagnosed in a 23-year-old woman following hospitalization for severe herpetic vulvar ulcerations. Manual attempts to separate the labia under local anesthesia were unsuccessful. Topical application of a potent cortico- steroid led to separation with no residual effects. CONCLUSION: Preventive and proactive management of extensive herpetic vulvar ulcerations should be the first line of care. There will always be patients who will present at a later stage of the disease, with established vulvar agglutination; there potent topical corticosteriods could prove valuable. There is no literature on the use of topical corticosteroids as the primary treatment for vulvar adhesions, and further studies are essential.
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ranking = 1
keywords = agglutination
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2/5. Vulvar cicatricial pemphigoid as a lichen sclerosus imitator. A case report.

    Because vulvar lichen sclerosus is very common, a clinician confronted with hypopigmentation and agglutination of the labia minora is tempted to make a diagnosis of the disease without the benefit of a skin biopsy or a careful examination of other epithelial surfaces. Unfortunately, that clinical picture is also consistent with the end stage of several other diseases, including cicatricial pemphigoid (benign mucous membrane pemphigoid), as demonstrated by a case of cicatricial pemphigoid affecting the vulva.
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ranking = 0.5
keywords = agglutination
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3/5. Labial agglutination secondary to a herpes simplex II infection.

    A case is described of a young woman with labial agglutination secondary to a herpes simplex II infection that was successfully treated with laser vaporization.
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ranking = 2.5
keywords = agglutination
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4/5. Further observations on the effect of topical progesterone on vulvar disease.

    follow-up studies have confirmed the beneficial effect of topical progesterone in the treatment of vulvar dystrophy, whether of the atrophic, hypertrophic or mixed variety, in both postmenopausal and premenarchal women. If pruritus is a major symptom, topical corticosteroids should be alternated with the progesterone preparation in order to obtain maximum results. Topical progesterone was also found to be useful in the treatment of labial agglutination in children.
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ranking = 0.5
keywords = agglutination
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5/5. Vulvar fusion-unusual cause of urinary obstruction.

    A case of urinary obstruction caused by vulvar fusion in an adult is reported. Anterograde micturition-urethrocystography revealed reflux of urine in the vagina and cavum uteri. Treatment consisted of sharp separation of the labia. Ointment dressing was applied to prevent reagglutination. After 1 year the patient has no urological complaints.
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ranking = 0.5
keywords = agglutination
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