Disorders of vulva & vagina Flashcards
1
Q
Lichen sclerosis- Eti
A
- Most common epithelial vulvar disorder
- Women > 60
- Benign, chronic inflammatory condition
- Vit A deficiency or autoimmune
2
Q
Lichen sclerosis- Sx
A
- Pruritis
- Scaring
- Erythema & edema
- White plaques
- Scratch-itch cycle
- Erosion, fissure & ulcers
- Thin, cigarette paper skin
3
Q
Lichen sclerosis- Dx
A
- Histology on biopsy:
- Thinning epithelium, lymphocytic infiltration, flattening of papillae, thin hyerperkeratotic layer
4
Q
Lichen sclerosis- Tx
A
- Avoid tight garments, keep dry
- Antihistmine
- Topical steroid- long term tx
- Immune modulators
5
Q
Lichen sclerosis- Complications
A
- High rates of squamous cell cancer
- Chronic
6
Q
Vulvar Lichen Simplex Chronicus- Eti
A
- Atopic dermatitis/ eczema, squamous cell hyperplasia of vulva
- Traumatic tissue injury
- Perpetuated by itch scratch cycle
7
Q
Vulvar Lichen Simplex Chronicus- Sx
A
- Epithelial thickening & hyperkeratosis
- Pruritis
- Raised white lesion
8
Q
Vulvar Lichen Simplex Chronicus- Dx
A
Biopsy- hyperkeratosis and acanthosis
- No dermal inflammatory infiltrate
9
Q
Vulvar Lichen Simplex Chronicus- Tx
A
- Sitz baths & lubricants
- Medium potency topical steroids
- Antihistamines
10
Q
Lichen planus- Eti
A
- Rare
- Mucocutaneous dermatosis
- Erosive
- Unknown pathogenesis
11
Q
Lichen planus- Sx
A
- Sharply marginated flat-topped papillose on skin
- Severe tissue distruction
- Scarring, urinary & sexual impairment
- Wickham striae, check mouth
- white plaques on mucous membranes
12
Q
Lichen planus- Tx
A
- Hydrocortisone foam
- Corticosteroids- potent
- Vulvar hygiene
- Cessation of scratching
13
Q
Bartholin cyst- Eti
A
- Obstruction of bartholin gland
- Infection, congenital narrowing, inspissated mucus
14
Q
Bartholin cyst- Sx
A
- Pain, tenderness, dyspareunia
- Edematous & inflamed tissues
- Fluctuant, tender mass
15
Q
Bartholin cyst- Dx
A
Inflamed gland- posterior third of labrum
