Cervical Ectropion May Be a Cause of Desquamative Inflammatory Vaginitis
Desquamative inflammatory vaginitis is a poorly understood chronic vaginitis with an unknown etiology. Symptoms of desquamative inflammatory vaginitis include copious yellowish discharge, vulvovaginal discomfort, and dyspareunia. Cervical ectropion, the presence of glandular columnar cells on the ec...
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| Format: | Article |
| Language: | English |
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Oxford University Press
2017-09-01
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| Series: | Sexual Medicine |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2050116117300211 |
| _version_ | 1827839702222241792 |
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| author | Leia Mitchell, MSc Michelle King, MSc Heather Brillhart, MD Andrew Goldstein, MD |
| author_facet | Leia Mitchell, MSc Michelle King, MSc Heather Brillhart, MD Andrew Goldstein, MD |
| author_sort | Leia Mitchell, MSc |
| collection | DOAJ |
| description | Desquamative inflammatory vaginitis is a poorly understood chronic vaginitis with an unknown etiology. Symptoms of desquamative inflammatory vaginitis include copious yellowish discharge, vulvovaginal discomfort, and dyspareunia. Cervical ectropion, the presence of glandular columnar cells on the ectocervix, has not been reported as a cause of desquamative inflammatory vaginitis. Although cervical ectropion can be a normal clinical finding, it has been reported to cause leukorrhea, metrorrhagia, dyspareunia, and vulvovaginal irritation. Patients with cervical ectropion and desquamative inflammatory vaginitis are frequently misdiagnosed with candidiasis or bacterial vaginosis and repeatedly treated without resolution of symptoms. We report the case of a 34-year-old woman with a 4-year history of profuse yellowish discharge and dyspareunia. Upon presentation, her symptoms and laboratory results met the criteria for desquamative inflammatory vaginitis, but the standard treatments did not provide long-lasting relief. As a last resort, cryotherapy (cryosurgery) of her cervix was performed for treatment of her cervical ectropion, which provided complete resolution of her symptoms.
Mitchell L, King M, Brillhart H, Goldstein A. Cervical Ectropion May Be a Cause of Desquamative Inflammatory Vaginitis. Sex Med 2017;5:e212–e214. |
| first_indexed | 2024-03-12T07:24:09Z |
| format | Article |
| id | doaj.art-5728533cb1874a3a808fb88a06a50fd2 |
| institution | Directory Open Access Journal |
| issn | 2050-1161 |
| language | English |
| last_indexed | 2024-03-12T07:24:09Z |
| publishDate | 2017-09-01 |
| publisher | Oxford University Press |
| record_format | Article |
| series | Sexual Medicine |
| spelling | doaj.art-5728533cb1874a3a808fb88a06a50fd22023-09-02T22:12:15ZengOxford University PressSexual Medicine2050-11612017-09-0153e212e21410.1016/j.esxm.2017.03.001Cervical Ectropion May Be a Cause of Desquamative Inflammatory VaginitisLeia Mitchell, MSc0Michelle King, MSc1Heather Brillhart, MD2Andrew Goldstein, MD3The Centers for Vulvovaginal Disorders, Washington, DC, and New York, NY, USAThe Centers for Vulvovaginal Disorders, Washington, DC, and New York, NY, USAGeorge Washington University School of Medicine and Health Sciences, Washington, DC, USAThe Centers for Vulvovaginal Disorders, Washington, DC, and New York, NY, USADesquamative inflammatory vaginitis is a poorly understood chronic vaginitis with an unknown etiology. Symptoms of desquamative inflammatory vaginitis include copious yellowish discharge, vulvovaginal discomfort, and dyspareunia. Cervical ectropion, the presence of glandular columnar cells on the ectocervix, has not been reported as a cause of desquamative inflammatory vaginitis. Although cervical ectropion can be a normal clinical finding, it has been reported to cause leukorrhea, metrorrhagia, dyspareunia, and vulvovaginal irritation. Patients with cervical ectropion and desquamative inflammatory vaginitis are frequently misdiagnosed with candidiasis or bacterial vaginosis and repeatedly treated without resolution of symptoms. We report the case of a 34-year-old woman with a 4-year history of profuse yellowish discharge and dyspareunia. Upon presentation, her symptoms and laboratory results met the criteria for desquamative inflammatory vaginitis, but the standard treatments did not provide long-lasting relief. As a last resort, cryotherapy (cryosurgery) of her cervix was performed for treatment of her cervical ectropion, which provided complete resolution of her symptoms. Mitchell L, King M, Brillhart H, Goldstein A. Cervical Ectropion May Be a Cause of Desquamative Inflammatory Vaginitis. Sex Med 2017;5:e212–e214.http://www.sciencedirect.com/science/article/pii/S2050116117300211Desquamative Inflammatory VaginitisCervical EctropionCryotherapyCervical EctopyCryosurgeryCervicitis |
| spellingShingle | Leia Mitchell, MSc Michelle King, MSc Heather Brillhart, MD Andrew Goldstein, MD Cervical Ectropion May Be a Cause of Desquamative Inflammatory Vaginitis Sexual Medicine Desquamative Inflammatory Vaginitis Cervical Ectropion Cryotherapy Cervical Ectopy Cryosurgery Cervicitis |
| title | Cervical Ectropion May Be a Cause of Desquamative Inflammatory Vaginitis |
| title_full | Cervical Ectropion May Be a Cause of Desquamative Inflammatory Vaginitis |
| title_fullStr | Cervical Ectropion May Be a Cause of Desquamative Inflammatory Vaginitis |
| title_full_unstemmed | Cervical Ectropion May Be a Cause of Desquamative Inflammatory Vaginitis |
| title_short | Cervical Ectropion May Be a Cause of Desquamative Inflammatory Vaginitis |
| title_sort | cervical ectropion may be a cause of desquamative inflammatory vaginitis |
| topic | Desquamative Inflammatory Vaginitis Cervical Ectropion Cryotherapy Cervical Ectopy Cryosurgery Cervicitis |
| url | http://www.sciencedirect.com/science/article/pii/S2050116117300211 |
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