Cases reported "Vulvovaginitis"

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1/25. Human seminal plasma protein allergy: a diagnosis rarely considered.

    women with seminal plasma protein allergy (SPPA) have an immunologic response to human semen. Symptoms vary from local inflammation and pruritus to systemic anaphylaxis after exposure. The first case was documented in germany in 1958. prevalence is difficult to determine because of the sensitive nature of the symptoms and resultant underreporting. The immunologic etiology of the allergy is not clearly understood; however, it is thought to be an IgE-mediated response from mast cells. patients with SPPA often have recurrent vaginitis associated with intercourse and are unresponsive to traditional therapies. The gold standard of diagnosis is absence of symptoms with condom use. Treatments include cromolyn vaginal cream for local reactions and immunotherapy with human seminal plasma. Treatment success has been varied. The implications and impact of SPPA on sexuality and reproduction are significant, and this allergy should be added to the provider's list of differential diagnoses for recurrent vaginitis in sexually active women. ( info)

2/25. Unilateral salpingitis due to enterobius vermicularis.

    A case of unilateral salpingitis caused by enterobius vermicularis presenting as a painful adnexal mass in a 28-year-old woman is reported. ( info)

3/25. constipation presenting as recurrent vulvovaginitis in prepubertal children.

    vulvovaginitis is the most common gynecologic problem in premenarcheal girls. We describe 3 patients with recurrent vulvovaginitis caused by bacterial infection who responded to treatment of constipation with resolution of the vulvovaginitis. There were no recurrences during the follow-up period of 15 to 36 months. We propose that underlying constipation should be added to the list of possible causes of recurrent vulvovaginitis. ( info)

4/25. Dermatological symptoms and sexual abuse: a review and case reports.

    Dermatological symptoms in cases of sexual abuse can be very diverse. To establish a causal relationship between skin diseases and sexual abuse is particularly difficult. In dermatology, three main areas of presentation can be identified. ACUTE CONSEQUENCES: Direct injuries found on the genitalia and body. Behaviour and psychological changes seen. sexually transmitted diseases (STD) may be identified, after an appropriate incubation period. LONG-TERM CONSEQUENCES: In the long term, even decades later, patients may manifest with a wide spectrum of psychosomatic manifestations of skin diseases, particularly factitious disorders. IMITATIONS: A group whose skin manifestations may mimic and be mistaken for sexual abuse. The initial suspicion of sexual abuse and the need for specific questioning and investigations can lead to a disturbance in the doctor-patient relationship. ( info)

5/25. Severe vulvovaginitis associated with intravaginal nystatin therapy.

    A 64-year-old woman had severe vulvovaginitis develop while she was receiving intravaginal nystatin therapy for candida glabrata infection. Mucocutaneous adverse effects have rarely been reported with nystatin despite long years of use. This complication should be included in the differential diagnosis of clinical failure of intravaginal nystatin therapy. ( info)

6/25. Allergic vulvovaginitis in infancy: study of a case.

    BACKGROUND: the role of dust mites (Dermatophagoides pt.) in the pathogenesis of allergic vulvovaginitis is still controversial. association between this mite and atopic dermatitis, conjunctivitis, rhinitis or asthma is already known.Some authors study the possible relationship between some vulvovaginitis and local hypersensitivity. The aim of this study was to corroborate the allergic aetiology due to the mite Dermatophagoides pt. in a girl with vulvovaginitis and perennial rhinitis. methods AND RESULTS: we studied a nine year-old patient with symptoms of perennial rhinitis and unspecific vulvovaginitis of torpid evolution. In vivo and in vitro allergologic tests were performed as well as complete analytic tests including immunoglobulins, urine tests, nasal culture, exudative vaginal culture, and parasitic test.Skin test was positive for Dermatophagoides pt. as well as specific IgE (99.5 kU/L). Total IgE was elevated for her age (492 kU/L). In the rest of the complementary tests, no values out of normality or pathological findings were obtained. CONCLUSIONS: considering these results, it was suspected that the nasal symptoms and the vulvovaginitis presented by the patient are of allergic aetiology by hypersensitivity to the mite Dermatophagoides pt. The study did not prove relation with bacteria, parasites, candida albicans or any inhalant allergens other than mites.After three months of treatment with oral antihistamines and topical chromones, as well as environmental avoiding measures, the symptoms totally yielded. ( info)

7/25. magnetic resonance imaging in the evaluation of vaginal foreign bodies in a young girl.

    A 7-year-old girl with foul-smelling, bloody vaginal discharge for more than 2 years was initially suspected of suffering from vaginal foreign bodies. Although plain radiography revealed no abnormal findings in the pelvis, magnetic resonance imaging (MRI) showed multiple low intensity objects and an intact vaginal wall. Four plastic toys were removed with forceps under general anesthesia. MRI is supposed to be the best technique for evaluating vaginal foreign bodies in young girls. ( info)

8/25. Chronic vulvovaginitis caused by antibiotic-resistant shigella flexneri in a prepubertal child.

    A 7-year 8-month-old girl was diagnosed with a prolonged course of vulvovaginitis caused by shigella flexneri. The child was symptomatic with intermittent vaginal bleeding, dysuria and foul smelling vaginal discharge for a 3-year period. Initial attempts to resolve the infection with successive courses of antibiotic therapy using ampicillin, trimethoprim-sulfamethoxazole, cefixime and amoxicillin/clavulanic acid failed. The child's infection was finally resolved by a 14-day course of ciprofloxacin. ( info)

9/25. Submucous infiltration of betamethasone and lidocaine in the treatment of vulvar vestibulitis.

    We present a case of persistent vulvar vestibulitis treated for several years unsuccessfully that has come to an end using a six week course of submucous infiltration of betamethasone and lidocaine in the vestibular area. ( info)

10/25. The use of acellular dermal graft for vulvovaginal reconstruction in a patient with lichen planus.

    BACKGROUND: Vulvovaginal lichen planus is an inflammatory dermatosis that can progress to an erosive form with scarring of the vulva, resorption of the labia minora, vaginal synechiae, and vaginal obliteration secondary to desquamative vaginitis. Traditionally, conservative medical therapy has consisted of topical corticosteroids and immunosuppressants. CASE: A 61-year-old woman with a history of refractory erosive vulvovaginal lichen planus presented with complete obliteration of the vaginal vault. The patient failed both medical and conservative surgical management and desired definitive management. After performing a skinning vulvectomy and simple vaginectomy, acellular dermal graft was used for grafting the vulva and creating a neovagina. CONCLUSION: Acellular dermal graft is a suitable graft material for vulvar and vaginal reconstruction in select patients, and it avoids the postoperative pain associated with graft harvest sites. ( info)
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