Vulvar Disorders

Question 1

Infrequent, chronic inflammatory dermatosis
-Pruritis, thin skin, wrinkled, white, lichenification. Hour glass shape, ulcerations an erosions
-Usually >60yrs
Steroids

Answer 1

Lichen Sclerosis

Question 2

Inflammatory, erosive disorder

• Marginated, flat-topped white papules. Latice nature (Wickum’s striae)
• Vaginal and oral manifestations
• Steroids

Answer 2

Lichen Planus

Question 3

• Itch/scratch cycle
• Benign epithelial thickening and hyperkeratosis w/ thickening, raised white lesions
• Vulvar hygiene important

Answer 3

Lichen Simplex Chronicus

Question 4

Chronic vulvar pain

Trycylic antidepressants, topical analgesics, gabapentin

Answer 4

Vulvodynia

Question 5

Obstruction of bartholin’s glands

-Pain, dyspareunia, mass

Answer 5

Bartholin’s Cyst

Question 6

Hemolytic staph aureus or strep

Thin walled vesicles and bullae–>reddened edges and crusted surfaces after rupturing

Answer 6

Impetigo

Question 7

Pruritic, subQ nodules which may develop into abscesses and rupture

Answer 7

Hidrantitis suppuritiva