Vulvar lesions: Classification: Red lesions: Candidiasis Contact dermatitis Vulvodynia Systemic skin disorders: Psoriasis Dermatosis White lesions: Dystrophies: skin growth) Lichen sclerosis (↓ Vulvar hyperplasia skin growth) (↑ Vulvar intraepithelial neoplasia Vitiligo Dark lesions: Nevi Malignant melanoma Ulcers: Genital herpes Syphilis Lymphogranuloma venereum (LGV) Granuloma inguinale Human immunodeficiency virus Carcinoma (see large tumors) Small tumors: Condylomata Sebaceous cysts Inclusion cysts Fibroepithelial polyps Bartholin abscess Carcinoma (see large tumors) Large tumors: Fibroma Lipoma Large condylomata Carcinoma Red lesions: Candidiasis: Note: Not an STD Normal flora in vagina controlled by the microclimate of the vagina, which is hormone dependant – Sx involvement includes labia minora & majora: – Severe pruritis Burning Whitish discharge (thin or thick) Oedematous Red Tender to touch Cx recurrences after medical treatment, due to: – Systemic antibiotics prolonged/repeated use – DM Corticosteroid use e.g. asthma esp. high dose oestrogen types COC’s Immunity e.g. HIV ↓ Candida species other than C. Albicans.
Vulvar lesions: Classification: Red lesions: Candidiasis Contact dermatitis Vulvodynia Systemic skin disorders: Psoriasis Dermatosis White lesions: Dystrophies: Lichen sclerosis (↓ skin growth) Vulvar hyperplasia (↑ skin growth) Vulvar intraepithelial neoplasia Vitiligo Dark lesions: Nevi Malignant melanoma Ulcers: Genital herpes Syphilis Lymphogranuloma venereum (LGV) Granuloma inguinale Human immunodeficiency virus Carcinoma (see large tumors) Small tumors: Condylomata Sebaceous cysts Inclusion cysts Fibroepithelial polyps Bartholin abscess Carcinoma (see large tumors) Large tumors: Fibroma Lipoma Large condylomata Carcinoma Red lesions: Candidiasis: Note: Not an STD Normal flora in vagina – controlled by the microclimate of the vagina, which is hormone dependant Sx – involvement includes labia minora & majora: Severe pruritis Burning Whitish discharge (thin or thick) Oedematous Red Tender to touch Cx – recurrences after medical treatment, due to: Systemic antibiotics – prolonged/repeated use DM Corticosteroid use e.g. asthma COC’s esp. high dose oestrogen types ↓ Immunity e.g. HIV Candida species other than C. Albicans.
gynaecology_summary.docx