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Vulvar Dermatitis

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141. Incontinence, Urinary: Nonsurgical Therapies (Diagnosis)

capabilities of the bladder or urethra. Urogenital fistulas are a classic example. A nonfunctioning urethra can result in continuous leakage. Scarring and fibrosis from previous surgery, partial urethral resection for vulvar cancer, and urethral sphincter paralysis due to lower motor neuron disease can cause the urethra to fail. Pelvic irradiation may not only cause urogenital fistula but in rare cases causes bladder noncompliance that results in continuous incontinence. Congenital malformations

2014 eMedicine.com

142. Hidradenitis Suppurativa (Diagnosis)

of recalcitrant severe hidradenitis suppurativa with carbon dioxide laser. Br J Dermatol . 2008 Dec. 159(6):1309-14. . Hynes PJ, Earley MJ, Lawlor D. Split-thickness skin grafts and negative-pressure dressings in the treatment of axillary hidradenitis suppurativa. Br J Plast Surg . 2002 Sep. 55(6):507-9. . Rhode JM, Burke WM, Cederna PS, Haefner HK. Outcomes of surgical management of stage III vulvar hidradenitis suppurativa. J Reprod Med . 2008 Jun. 53(6):420-8. . Frohlich D, Baaske D, Glatzel M

2014 eMedicine.com

143. Skin Cancer: Basal Cell Carcinoma

Jan. 27(1):125-35. . Kara M, Colgecen E, Yildirim EN. Vulvar basal cell carcinoma. Indian J Pathol Microbiol . 2012 Oct-Dec. 55 (4):583-4. . . Newman JC, Leffell DJ. Correlation of embryonic fusion planes with the anatomical distribution of basal cell carcinoma. Dermatol Surg . 2007 Aug. 33(8):957-64; discussion 965. . Karagas MR, Gossai A, Pierce B, Ahsan H. Drinking Water Arsenic Contamination, Skin Lesions, and Malignancies: A Systematic Review of the Global Evidence. Curr Environ Health Rep

2014 eMedicine Surgery

144. Hidradenitis Suppurativa (Treatment)

who advocate excision and healing by secondary intention claim that this technique permits adequate disease clearance and results in a cosmetically acceptable scar, superior to that obtained by skin grafting, with little limitation of movement. [ ] A report on five patients treated for stage III vulvar hidradenitis suppurativa showed that the only one patient who was managed without split-thickness skin grafting developed an introital stricture and this was the only patient who regretted (...) Surg . 2002 Sep. 55(6):507-9. . Rhode JM, Burke WM, Cederna PS, Haefner HK. Outcomes of surgical management of stage III vulvar hidradenitis suppurativa. J Reprod Med . 2008 Jun. 53(6):420-8. . Frohlich D, Baaske D, Glatzel M. [Radiotherapy of hidradenitis suppurativa--still valid today?]. Strahlenther Onkol . 2000 Jun. 176(6):286-9. . Kimball AB, Sobell JM, Zouboulis CC, Gu Y, Williams DA, Sundaram M, et al. HiSCR (Hidradenitis Suppurativa Clinical Response): a novel clinical endpoint to evaluate

2014 eMedicine Emergency Medicine

145. Vulvovaginitis (Overview)

: Jill M Krapf, MD, FACOG; Chief Editor: Christine Isaacs, MD Share Email Print Feedback Close Sections Sections Vulvovaginitis Overview Practice Essentials Vulvovaginitis is a general term referring to many types of vaginal infection, although this article focuses on the following disorders, which affect the vulvar region: Vulvovaginal candidiasis Atrophic vaginitis Vulvar vestibulitis Contact dermatitis Signs and symptoms Acute vulvovaginal candidiasis Vulvar pruritus and burning - Primary symptoms (...) , and a feeling of rawness that is aggravated by stress, exercise, tight clothing, coitus, and tampon use. The pain is usually not considered constant but is elicited by any attempt to enter the vagina. Other symptoms may include the following: Irritating vaginal discharge Vulvar burning sensation Small spots of erythema around the vestibular glands, with rare ulceration Contact dermatitis Pruritus is the cardinal symptom. However, an acute reaction may develop as a result of exposure to a potent irritant

2014 eMedicine Emergency Medicine

146. Urinary Incontinence (Overview)

. A nonfunctioning urethra can result in continuous leakage. Scarring and fibrosis from previous surgery, partial urethral resection for vulvar cancer, and urethral sphincter paralysis due to lower motor neuron disease can cause the urethra to fail. Pelvic irradiation may not only cause urogenital fistula but in rare cases causes bladder noncompliance that results in continuous incontinence. Congenital malformations of the genitourinary tract, such as bladder exstrophy, [ ] epispadias, and ectopic ureters, can

2014 eMedicine Emergency Medicine

147. Hidradenitis Suppurativa (Treatment)

who advocate excision and healing by secondary intention claim that this technique permits adequate disease clearance and results in a cosmetically acceptable scar, superior to that obtained by skin grafting, with little limitation of movement. [ ] A report on five patients treated for stage III vulvar hidradenitis suppurativa showed that the only one patient who was managed without split-thickness skin grafting developed an introital stricture and this was the only patient who regretted (...) Surg . 2002 Sep. 55(6):507-9. . Rhode JM, Burke WM, Cederna PS, Haefner HK. Outcomes of surgical management of stage III vulvar hidradenitis suppurativa. J Reprod Med . 2008 Jun. 53(6):420-8. . Frohlich D, Baaske D, Glatzel M. [Radiotherapy of hidradenitis suppurativa--still valid today?]. Strahlenther Onkol . 2000 Jun. 176(6):286-9. . Kimball AB, Sobell JM, Zouboulis CC, Gu Y, Williams DA, Sundaram M, et al. HiSCR (Hidradenitis Suppurativa Clinical Response): a novel clinical endpoint to evaluate

2014 eMedicine Surgery

148. Hidradenitis Suppurativa (Overview)

of recalcitrant severe hidradenitis suppurativa with carbon dioxide laser. Br J Dermatol . 2008 Dec. 159(6):1309-14. . Hynes PJ, Earley MJ, Lawlor D. Split-thickness skin grafts and negative-pressure dressings in the treatment of axillary hidradenitis suppurativa. Br J Plast Surg . 2002 Sep. 55(6):507-9. . Rhode JM, Burke WM, Cederna PS, Haefner HK. Outcomes of surgical management of stage III vulvar hidradenitis suppurativa. J Reprod Med . 2008 Jun. 53(6):420-8. . Frohlich D, Baaske D, Glatzel M

2014 eMedicine Surgery

149. Tinea Versicolor (Overview)

in skin disorders. Cutis . 1997 Jan. 59(1):21-4. . Nakabayashi A, Sei Y, Guillot J. Identification of Malassezia species isolated from patients with seborrhoeic dermatitis, atopic dermatitis, pityriasis versicolor and normal subjects. Med Mycol . 2000 Oct. 38(5):337-41. . Levy JM, Magro C. Atrophying pityriasis versicolor as an idiosyncratic T cell-mediated response to Malassezia: A case series. J Am Acad Dermatol . 2017 Apr. 76(4):730-735. . Day T, Scurry J. Vulvar pityriasis versicolor (...) papillomatosis, seborrheic dermatitis, the provocation of psoriatic lesions, and some forms of . [ ] Studies also show that tinea versicolor occurs with and various diseases, including . Pregnancy and oral contraceptives may influence susceptibility, but firm data are lacking. Patients with AIDS may present with severe seborrhea but do not have a higher incidence of tinea versicolor. Systemic infections are attributed to Pityrosporum in extremely rare cases. Different rare clinical forms have been described

2014 eMedicine Pediatrics

150. Fournier Gangrene (Diagnosis)

with cocaine [ ] Urethral instrumentation Prosthetic penile implants Intramuscular injections Steroid enemas (used for the treatment of radiation proctitis) Rectal foreign body [ ] In women, septic abortions, vulvar or Bartholin gland abscesses, hysterectomy, and episiotomy are documented sources. In men, anal intercourse may increase risk of perineal infection, either from blunt trauma to the area or by spread of rectally carried microbes. In children, the following have led to the disease: Circumcision (...) inflammatory cells in the necrotic tissue. Bacteria are located in the haziness of their cytoplasm. Courtesy of Billie Fife, MD, and Thomas A. Santora, MD. Photograph of a morbidly obese male with long-standing phimosis. This condition led to urinary incontinence, perineal diaper rash–like dermatitis, and urinary tract infection. Ultimately, he presented with exquisite perineal pain. An examination with the patient under anesthesia was necessary to discover the necrotizing infection that appeared

2014 eMedicine Emergency Medicine

151. Hidradenitis Suppurativa (Diagnosis)

of recalcitrant severe hidradenitis suppurativa with carbon dioxide laser. Br J Dermatol . 2008 Dec. 159(6):1309-14. . Hynes PJ, Earley MJ, Lawlor D. Split-thickness skin grafts and negative-pressure dressings in the treatment of axillary hidradenitis suppurativa. Br J Plast Surg . 2002 Sep. 55(6):507-9. . Rhode JM, Burke WM, Cederna PS, Haefner HK. Outcomes of surgical management of stage III vulvar hidradenitis suppurativa. J Reprod Med . 2008 Jun. 53(6):420-8. . Frohlich D, Baaske D, Glatzel M

2014 eMedicine Emergency Medicine

152. Fournier Gangrene (Overview)

with cocaine [ ] Urethral instrumentation Prosthetic penile implants Intramuscular injections Steroid enemas (used for the treatment of radiation proctitis) Rectal foreign body [ ] In women, septic abortions, vulvar or Bartholin gland abscesses, hysterectomy, and episiotomy are documented sources. In men, anal intercourse may increase risk of perineal infection, either from blunt trauma to the area or by spread of rectally carried microbes. In children, the following have led to the disease: Circumcision (...) inflammatory cells in the necrotic tissue. Bacteria are located in the haziness of their cytoplasm. Courtesy of Billie Fife, MD, and Thomas A. Santora, MD. Photograph of a morbidly obese male with long-standing phimosis. This condition led to urinary incontinence, perineal diaper rash–like dermatitis, and urinary tract infection. Ultimately, he presented with exquisite perineal pain. An examination with the patient under anesthesia was necessary to discover the necrotizing infection that appeared

2014 eMedicine Emergency Medicine

153. Lichen Simplex Chronicus

Simplex Chronicus Aka: Lichen Simplex Chronicus , Lichen Simplex , Circumscribed Neurodermatitis , Lichen Simplex Nuchae , Scalp Picker's Nodule , Vulvar Lichen Simplex Chronicus , Red Scrotum Syndrome From Related Chapters II. Pathophysiology Lichenified skin reaction to chronic scratching (may occur while asleep) III. Causes s (most common) , or Skin cancers Exacerbating factors Heat or excessive sweating Irritation from overlying clothing Topical cleansers, lotions or other products IV. Signs (...) the itch-scratch cycle See s for specific locations Triamcinolone 0.1% ointment twice daily until active dermatitis resolves Advance to Clobetasol 0.05% daily if refractory after 2-3 weeks Consider oral s if still refractory after 2-3 weeks Intertriginous areas (perianal area or behind ear) Triamcinolone 0.1% ointment twice daily until active dermatitis resolves Scalp gel applied twice daily until active lesions resolve Inject intralesional ( 10 mg/ml) for scalp s Consider 20 mg twice daily for 2 weeks

2015 FP Notebook

154. Vulvodynia

Vulvodynia Vulvodynia Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Vulvodynia Vulvodynia Aka: Vulvodynia , Vulvar Pain (...) , Dysesthetic Vulvodynia , Essential Vulvodynia , Vulvar Dysesthesia From Related Chapters II. Definitions Vulvodynia Chronic vulvar discomfort is stinging, burning, and raw No visible dermatoses No identifiable neurologic disorder Erythema may be only finding III. Types Spectrum of Vulvodynia Previously known as Timing Provoked Vulvodynia (triggered by touch) Unprovoked Vulvodynia (continuous Vulvodynia) IV. Symptoms Characteristics Burning, irritating, or sharp pain Timing: Onset with provocation, lasting

2015 FP Notebook

155. Topical Corticosteroid

(Level 4-5) (vulvar) Nummular Perianal inflammation (severe cases) (only after the anti- agent has been used) Severe Low potency s (Level 6-7) Dermatitis (face, s, diaper area) Perianal inflammation References XIII. Dosing: Corticosteroid Potency Selection by distribution Low potency Topical Corticosteroids Face Groin Intertriginous areas Mid-potency Topical Corticosteroids Thin skin trunk areas Extremity lesions High potency Topical Corticosteroids Thick skin trunk areas Extremity lesions Very high (...) absorption with systemic steroid effects Skin atrophy Rebound papular dermatitis after medium-high potency Avoid high potency steroid on genital or face Striae formation Telangiectasia IV. Example: Lower cost, generic steroids Level 1: Clobetasol Propionate 0.05% ointment (price jump to $200 for 45 g in 2017) Level 2: Betamethasone Dipropionate 0.05% ointment Level 3: Betamethasone Dipropionate 0.05% cream Level 4: Triamcinolone Acetonide 0.1% ointment Level 5: Triamcinolone Acetonide 0.1% ointment Level

2015 FP Notebook

156. Cutaneous Manifestations of DOCK8 Deficiency Syndrome. (PubMed)

cutaneous viral infections. Malignant neoplasms, including aggressive cutaneous T-cell lymphoma, anal and vulvar squamous cell carcinomas, and diffuse large B-cell lymphoma, developed in 5 patients during adolescence and young adulthood.DOCK8 deficiency and Job's syndrome share several clinical features, including elevated serum IgE levels, dermatitis, recurrent sinopulmonary infections, and cutaneous staphylococcal abscesses. However, the presence of recalcitrant, widespread cutaneous viral infections (...) to as autosomal dominant hyper-IgE syndrome, on the basis of clinical findings alone is challenging. The discovery of the DOCK8 mutation has made it possible to differentiate the cutaneous manifestations of these hyper-IgE syndromes.Twenty-one patients from 14 families with confirmed homozygous or compound heterozygous mutations in DOCK8 were evaluated. Clinical findings included dermatitis, asthma, food and environmental allergies, recurrent sinopulmonary infections, staphylococcal skin abscesses, and severe

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2011 Archives of Dermatology

157. Guidelines for topical photodynamic therapy

months Rosacea 184,185 CS + CR 4 + 1 1 (CS), 6 (CR) MAL + red (n=4) Levulan ALA + PDT at 595 nm (n=1) CS: Response in three, sustained in one to 9 months CR: Excellent response, only 1 month review Perioral dermatitis 186 SFC 21 4 Levulan ALA, blue 92% lesions clear (vs. 81% on clindamycin); seven of 21 did not complete due to photosensitivity reactions Radiodermatitis 187 CS 5 2–8 ALA, red (+ near infrared) Remission in two, partial clearing in three Venous leg ulcer 188 CR 1 8 ALA, red Signi?cant (...) 2005; 5:791–800. 85 Fehr MK, Hornung R, Schwarz VA et al. Photodynamic therapy of vulvar intraepithelial neoplasia III using topically applied 5-aminolevulinic acid. Gynecol Oncol 2001; 80:62–6. 86 Fehr MK, Hornung R, Degen A et al. Photodynamic therapy of vulvar

2008 British Association of Dermatologists

158. Gonorrhea

, and the cervical os may be red and bleed easily when touched with the speculum. Urethritis may occur concurrently; pus may be expressed from the urethra when the symphysis pubis is pressed or from Skene ducts or Bartholin glands. Rarely, infections in sexually abused prepubertal girls cause dysuria, purulent vaginal discharge, and vulvar irritation, erythema, and edema. Gonorrhea (Vaginitis) © Springer Science+Business Media Pelvic inflammatory disease occurs in 10 to 20% of infected women. PID may include (...) symptoms or harm. Disseminated Gonococcal Infection (Skin Lesions) Image courtesy of Dr. S. E. Thompson and J. Pledger via the Public Health Image Library of the Centers for Disease Control and Prevention. Disseminated gonococcal infection (DGI) , also called the arthritis-dermatitis syndrome, reflects bacteremia and typically manifests with fever, migratory pain or joint swelling (polyarthritis), and pustular skin lesions. In some patients, pain develops and tendons (eg, at the wrist or ankle) redden

2013 Merck Manual (19th Edition)

159. Balanitis xerotica obliterans

Balanitis xerotica obliterans Lichen sclerosus - Wikipedia Lichen sclerosus From Wikipedia, the free encyclopedia (Redirected from ) Itchy skin rash usually affecting the genitals Lichen sclerosus Other names balanitis xerotica obliterans, lichen sclerosus et atrophicus, lichen plan atrophique, lichen plan scléreux, Kartenblattförmige Sklerodermie, Weissflecken Dermatose, lichen albus, lichen planus sclerosus et atrophicus, dermatitis lichenoides chronica atrophicans, kraurosis vulvae of lichen (...) likely to develop skin cancer. Women with lichen sclerosus may develop . Lichen sclerosus is associated with 3–7% of all cases of vulvar squamous cell carcinoma. In women, it has been reported that 33.6 times higher vulvar cancer risk is associated with LS. A study in men reported that "The reported incidence of penile carcinoma in patients with BXO is 2.6–5.8%". Epidemiology [ ] There is a bimodal age distribution in the incidence of LS in women. It occurs in females with an average age of diagnosis

2012 Wikipedia

160. Anaerobic infection

infections requires the utilization of antimicrobials effective against both components of the infection as well as surgical correction and drainage of pus. Single and easily accessible abscesses can be drained percutaneously. Female genital infections [ ] Female genital tract infections caused by anaerobic bacteria are polymicrobial and include: soft-tissue perineal, vulvar and Bartholin gland abscesses; bacterial vaginosis; endometritis; pyometra; salpingitis; adnexal abscess; tubo-ovarian abscesses (...) that frequently involve anaerobic bacteria include superficial infections, including infected paronychia, infected human or animal bites, cutaneous ulcers, cellulitis, pyoderma, and hidradenitis suppurativa. Secondary infected sites include secondary infected diaper rash, gastrostomy or tracheostomy site wounds, scabies or kerion infections, eczema, psoriasis, poison ivy, atopic dermatitis, eczema herpeticum, infected subcutaneous sebaceous or inclusion cysts, and postsurgical wound infection. Skin

2012 Wikipedia

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