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8.06 Contact vulvovaginitis


Presentation

Patients complain of vulvar itching and swelling. Occationally there will be tenderness, pain, burning and dysuria severe enough at times to cause urinary retention. The vulvovaginal area is inflammed, erythematous and edematous. In more severe cases there may be vesiculation and ulceration and in cases where there is a chronic contact dermatitis there may be lichenification, scaling and skin thickening.

What to do:

What not to do:

Discussion

The major problem with managing contact vulvovaginitis is identifying the primary irritant or allergen. In many cases, more than one substance is involved or potentially involved and may be totally unsuspected by the patient (such as the use of scented toilet paper). For this reason, a thorough investigative history is very important.

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from Buttaravoli & Stair: COMMON SIMPLE EMERGENCIES
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Craig Feied, MD
Mark Smith, MD
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