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Desquamative vaginitis: not an infectious entity.(Clinical Rounds)

Publication: Skin & Allergy News

Publication Date: 01-JUL-05

Author: Mechcatie, Elizabeth
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COPYRIGHT 2005 International Medical News Group

BETHESDA, MD. -- Most experts now believe that desquamative inflammatory vaginitis is not a diagnosis of one condition, but may represent a range of blistering disorders, such as lichen planus, mucous membrane pemphigoid, and pemphigus vulgaris, Hope K. Haefner, M.D., said at a conference on vulvovaginal diseases.

With descriptions in the medical literature dating to the 1950s, the signs and symptoms of desquamative inflammatory vaginitis (DIV) include dyspareunia and exudative, chronic vaginitis, with yellow-watery, purulent discharge that is occasionally blood-tinged, said Dr. Haefner, director of the University of Michigan Center for Vulvar Diseases, Ann Arbor.

Patients with DIV also may have a spotted rash on the vagina and cervix, massive vaginal cell exfoliation, and an increased vaginal pH, she said.

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