Virus-Induced Vulvitis or Ulcerations

March 4, 2008 on 3:33 pm | In Gynecology | Comments Off

Wilberto Nieves-Neira
Bhagirath Majmudar
Ira R. Horowitz
Epstein-Barr virus (EBV) may be shed from the genital tract of both males and females. The uterine cervix is recognized as a site of active viral shedding even in asymptomatic adult females or adolescents. EBV also has been identified in acetowhite lesions of the vulva. The virus has been isolated from […]

Bacterial Vulvitis

March 4, 2008 on 2:16 am | In Gynecology | Comments Off

Wilberto Nieves-Neira
Bhagirath Majmudar
Ira R. Horowitz
Bacterial vulvitis (and vulvovaginitis) is caused most commonly by group A b-hemolytic streptococcus. Vulvar infection can result from autoinoculation from pharyngitis, cutaneous infections, or the gastrointestinal tract, although no recent association with upper respiratory tract infections, tonsillitis, or nasopharyngitis is common. Presentation is acute in most cases, with an evolution of […]

Online Casino List

March 4, 2008 on 12:06 am | In Products | Comments Off

If you want to search the best online casinos worldwide, you can find them at Online Casino List www.online-casino-list.com, with their nice looking website you will find Top 15 Best Online Casino on the front page reviewed by their professional editor. They listed online casino with website screen shot, editor rating, user rating, maximal bonus […]

Vulvitis

March 3, 2008 on 4:10 pm | In Gynecology | Comments Off

Wilberto Nieves-Neira
Bhagirath Majmudar
Ira R. Horowitz
Vulvitis is the most common pediatric gynecologic problem and frequently manifests as vulvovaginitis. Prepubertal girls are prone to vulvitis because the anus is physically closer to the vestibule, and the labia lack the fat pads and pubic hair that provide protection after puberty. Poor hygiene habits as well as bizarre genital […]

Molluscum Contagiosum

March 3, 2008 on 8:06 am | In Gynecology | Comments Off

Wilberto Nieves-Neira
Bhagirath Majmudar
Ira R. Horowitz
Molluscum contagiosum is seen most frequently in children, usually on the face, trunk, and extremities. Vulvar lesions can result from autoinoculation from other parts of the body or from close contact (sexual or nonsexual) with an affected individual. In the child, molluscum produces the classic, slightly elevated, waxy, 2- to 5-mm […]

Syphilis

March 3, 2008 on 4:03 am | In Gynecology | Comments Off

Wilberto Nieves-Neira
Bhagirath Majmudar
Ira R. Horowitz
Manifestations of syphilis in the vulva of the child may be confusing. In the primary stage, instead of the classic chancre, the lesions frequently are superficial ulcerations, often with striking edema. As in the adult, they are asymptomatic, although for some patients they may cause irritation. In secondary syphilis, condyloma lata […]

Gonorrhea

March 3, 2008 on 1:03 am | In Gynecology | Comments Off

Wilberto Nieves-Neira
Bhagirath Majmudar
Ira R. Horowitz
The vulva is covered by stratified squamous epithelium, which is not directly infected by the gonococcus, because the latter primarily invades nonsquamous mucus membrane. The thin premenarchal vaginal epithelium is cuboidal and, therefore, infected by the gonococcus. The associated vaginal discharge commonly results in vulvar skin irritation. Generalized vulvar skin erythema […]

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