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Dermatologic Differential Diagnosis.pdf. - Famona Site

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Thermal burn – child abuse; vulvar edema Genital Skin<br />

Disorders, Fischer and Margesson, CV Mosby p.116, 1998<br />

Radiation therapy – lymphatic obstruction Genital Skin<br />

Disorders, Fischer and Margesson, CV Mosby p.224, 1998<br />

Surgical trauma – vulvar hematoma, vulvar fissure Genital Skin<br />

Disorders, Fischer and Margesson, CV Mosby p.122, 1998<br />

Vulvar hematoma Genital Skin Disorders, Fischer and<br />

Margesson, CV Mosby p.116, 1998<br />

VASCULAR<br />

Hemangiomas Genital Skin Disorders, Fischer and Margesson,<br />

CV Mosby p.200, 1998<br />

Lymphedema Arch Pathol Lab Med 124:1697–1699, 2000;<br />

congenital Genital Skin Disorders, Fischer and Margesson,<br />

CV Mosby p.224, 1998<br />

Lymphangiectasia (acquired lymphangioma) – due to scarring<br />

processes such as recurrent infections, radiotherapy,<br />

scrofuloderma (tuberculous adenitis), tumors, genital Crohn’s<br />

disease Rook p.2294–2295, 1998, Sixth Edition; BJD<br />

132:1014–1016, 1996<br />

Lymphangioma circumscriptum Genital Skin Disorders, Fischer<br />

and Margesson, CV Mosby p.205–206, 1998; acquired vulvar<br />

lymphangioma mimicking genital warts J Cutan Pathol<br />

26:150–154, 1999<br />

Varicosity Genital Skin Disorders, Fischer and Margesson,<br />

CV Mosby p.229, 1998<br />

VULVAR ERYTHEMA/PRURITUS<br />

AUTOIMMUNE DISEASES, AND DISEASES<br />

OF IMMUNE DYSFUNCTION<br />

Allergic contact dermatitis – anesthetics (benzocaine),<br />

antibiotics (neomycin), antihistamine creams, nail polish, vaginal<br />

perfumes, douches, preservatives or active ingredients in<br />

topical creams and ointments (parabens, imidazolidinylurea),<br />

moisturizers (lanolin), poison ivy, rubber (gloves, condoms,<br />

diaphragms), contraceptives, clothing dyes, fragrances in<br />

laundry products Genital Skin Disorders, Fischer and<br />

Margesson, CV Mosby p.155, 1998; BJD 126:52–56, 1992;<br />

pigmented purpuric clothing dermatitis to disperse dyes<br />

Contact Dermatitis 43:360, 2000<br />

Bullous pemphigoid BJD 145:994–997, 2001<br />

Cicatricial pemphigoid Ped Derm 21:51–53, 2004<br />

Food allergy – vaginal itching Ann Allergy 72:546, 1994<br />

Lichenoid reactions with antibodies to desmoplakins I and II –<br />

JAAD 48:433–438, 2003<br />

Lupus erythematosus – discoid lupus erythematosus Genital<br />

Skin Disorders, Fischer and Margesson, CV Mosby p.172,<br />

1998; BJD 121:727–741, 1989; systemic lupus erythematosus<br />

BJD 121:727–741, 1989<br />

Seasonal allergic disease – vulvar itching J Allergy Clin<br />

Immunol 95Z:780–782, 1995<br />

DRUGS<br />

Capecitabine (Xeloda) JAAD 45:790–791, 2001<br />

Corticosteroids – topical corticosteroid withdrawal Genital Skin<br />

Disorders, Fischer and Margesson, CV Mosby p.232, 1998<br />

Enalapril – vaginal itching Ann Intern Med 112:217–222, 1990<br />

Fixed drug eruption Genital Skin Disorders, Fischer and<br />

Margesson, CV Mosby p.163, 1998<br />

Toxic epidermal necrolysis Genital Skin Disorders, Fischer and<br />

Margesson, CV Mosby p.184, 1998<br />

EXOGENOUS AGENTS<br />

Irritant contact dermatitis – bubble baths in children, soap,<br />

detergents, fabric softener, feminine hygiene products,<br />

chemicals, deodorant sprays, friction, thermal damage (hot<br />

water bottles), trauma Genital Skin Disorders, Fischer and<br />

Margesson, CV Mosby p.155, 1998; Contact Dermatitis<br />

5:375–377, 1979<br />

INFECTIONS OR INFESTATIONS<br />

Bacterial cellulitis/erysipelas Genital Skin Disorders, Fischer<br />

and Margesson, CV Mosby, 1998, p.140<br />

Streptococcus pyogenes (group A beta-hemolytic)<br />

Haemophilus influenzae<br />

Streptococcus pneumoniae<br />

Staphylococcus aureus<br />

Neisseria meningitides<br />

Shigella<br />

Yersinia<br />

Candidiasis Genital Skin Disorders, Fischer and Margesson,<br />

CV Mosby p.136–137, 1998; Rook p.3212, 1998, Sixth Edition;<br />

Clin Obstet Gynecol 24:407–438, 1981<br />

Enterobiasis (Enterobius vermicularis) (threadworm) – vulvar<br />

dermatitis Rook p.1390, 1998, Sixth Edition; Br J Vener Dis<br />

49:314–315, 1973<br />

Folliculitis Genital Skin Disorders, Fischer and Margesson,<br />

CV Mosby p.141, 1998<br />

Gardnerella vaginalis – non-specific vaginitis (Gardnerella and<br />

Mobiluncus) J Clin Microbiol 28:28:2033–2039, 1990; Clin<br />

Obstet Gynecol 24:439–460, 1981<br />

Gonorrhea Ghatan p.115, 2002, Second Edition<br />

Haemophilus vulvovaginitis Ped Derm 17:1–6, 2000<br />

Herpes simplex Genital Skin Disorders, Fischer and<br />

Margesson, CV Mosby p.131–132, 1998<br />

Herpes zoster Genital Skin Disorders, Fischer and Margesson,<br />

CV Mosby p.134, 1998<br />

Pediculosis The Clinical Management of Itching; Parthenon;<br />

p.123, 2000<br />

Pinworm Ghatan p.115, 2002, Second Edition<br />

Scabies The Clinical Management of Itching; Parthenon; p.120,<br />

2000<br />

Scarlet fever<br />

Shigella vulvovaginitis Adolesc Pediatr Gynecol 7:86–89, 1994<br />

Streptococcal vulvovaginitis/cellulitis Ped Derm 17:1–6, 2000;<br />

South Med J 75:446–447, 1982<br />

Tinea cruris AD 118:446, 1982<br />

Trichomoniasis Clin Obstet Gynecol 24:407–438, 1981<br />

Vaginitis – bacterial vaginosis; Haemophilus vaginalis,<br />

Gardnerella vaginalis, anaerobic bacteria The Clinical<br />

Management of Itching; Parthenon; p.123, 2000<br />

INFILTRATIVE DISEASES<br />

VULVAR ERYTHEMA/PRURITUS 693<br />

Langerhans cell histiocytosis Genital Skin Disorders, Fischer<br />

and Margesson, CV Mosby p.220, 1998<br />

Zoon’s (plasma cell) vulvitis – red vulva AD 141:789–790, 2005;<br />

red plaque JAAD 19:947–950, 1988; <strong>Dermatologic</strong>a 111:157, 1955

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