Candida vulvovaginitis differential diagnosis: Difference between revisions
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==Differentiating Candida Vulvovaginitis from other Diseases== | |||
Candida Vulvovaginitis must be differentiated from the following diseases which have a similar presentation:<ref name=CDC-BV> Centers for Disease Control and Prevention. 2015 Sexually Transmitted Diseases Treatment Guidelines. Bacterial Vaginosis. http://www.cdc.gov/std/tg2015/bv.htm Accessed on October 13, 2016 </ref><ref name="pmid10839558">{{cite journal| author=Bachmann GA, Nevadunsky NS| title=Diagnosis and treatment of atrophic vaginitis. | journal=Am Fam Physician | year= 2000 | volume= 61 | issue= 10 | pages= 3090-6 | pmid=10839558 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=10839558 }} </ref><ref name="pmid2448502">{{cite journal| author=Krieger JN, Tam MR, Stevens CE, Nielsen IO, Hale J, Kiviat NB et al.| title=Diagnosis of trichomoniasis. Comparison of conventional wet-mount examination with cytologic studies, cultures, and monoclonal antibody staining of direct specimens. | journal=JAMA | year= 1988 | volume= 259 | issue= 8 | pages= 1223-7 | pmid=2448502 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=2448502 }} </ref><ref name="pmid21422855">{{cite journal| author=Sobel JD, Reichman O, Misra D, Yoo W| title=Prognosis and treatment of desquamative inflammatory vaginitis. | journal=Obstet Gynecol | year= 2011 | volume= 117 | issue= 4 | pages= 850-5 | pmid=21422855 | doi=10.1097/AOG.0b013e3182117c9e | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=21422855 }} </ref><ref name="pmid97946645">{{cite journal| author=Eckert LO, Hawes SE, Stevens CE, Koutsky LA, Eschenbach DA, Holmes KK| title=Vulvovaginal candidiasis: clinical manifestations, risk factors, management algorithm. | journal=Obstet Gynecol | year= 1998 | volume= 92 | issue= 5 | pages= 757-65 | pmid=9794664 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=9794664 }}</ref> | |||
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! style="background: #4479BA; width: 120px;" | {{fontcolor|#FFF|Disease}} | |||
! style="background: #4479BA; width: 550px;" | {{fontcolor|#FFF|Findings}} | |||
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| style="padding: 5px 5px; background: #DCDCDC;" |'''[[Trichomoniasis]]''' | |||
| style="padding: 5px 5px; background: #F5F5F5;" | | |||
*Presents with purulent, malodorous, thin [[discharge]] associated with burning, [[pruritus]], and [[dysuria]], with the signs of vaginal [[inflammation]] and elevated vaginal [[pH]] (>4.5) | |||
*Motile [[trichomonads]] on [[wet mount]] are demonstrated | |||
*Positive [[culture]] (Gold standard) | |||
*Positive [[nucleic acid amplification test]] ([[NAAT]]) | |||
|- | |||
| style="padding: 5px 5px; background: #DCDCDC;" |'''[[Atrophic vaginitis]]''' | |||
| style="padding: 5px 5px; background: #F5F5F5;" | | |||
*Progressive symptoms | |||
*Presents with yellow and malodorous vaginal [[discharge]], [[vaginal dryness]], [[postcoital bleeding]], and [[dyspareunia]] with the signs of vaginal [[inflammation]] and elevated vaginal [[pH]] (>5) | |||
*Diagnosis is critical and laboratory tests help to confirm hypoestrogenic state | |||
|- | |||
| style="padding: 5px 5px; background: #DCDCDC;" | '''Desquamative inflammatory vaginitis''' | |||
| style="padding: 5px 5px; background: #F5F5F5;" | | |||
*Chronic clinical syndrome with unknown etiology | |||
*Presents with [[dyspareunia]], [[dyspareunia]], yellow, grey, or green profuse [[vaginal discharge]] with the signs of vaginal [[inflammation]] and elevated vaginal [[pH]] (>4.5) | |||
*Microscopy shows large number of parabasal (immature squamous epithelial cells) and inflammatory cells | |||
|- | |||
| style="padding: 5px 5px; background: #DCDCDC;" | '''[[Bacterial Vaginosis]]''' | |||
| style="padding: 5px 5px; background: #F5F5F5;" | | |||
*Presents with [[dysuria]], [[vaginal discharge]] | |||
*Fishy odor (positive whiff test) | |||
*Normal vaginal [[PH]] (<4.5) | |||
*On [[speculum examination]] signs of vaginal inflammation are demonstrated. | |||
|} |
Revision as of 14:35, 1 May 2017
Differentiating Candida Vulvovaginitis from other Diseases
Candida Vulvovaginitis must be differentiated from the following diseases which have a similar presentation:[1][2][3][4][5]
Disease | Findings |
---|---|
Trichomoniasis |
|
Atrophic vaginitis |
|
Desquamative inflammatory vaginitis |
|
Bacterial Vaginosis |
|
- ↑ Centers for Disease Control and Prevention. 2015 Sexually Transmitted Diseases Treatment Guidelines. Bacterial Vaginosis. http://www.cdc.gov/std/tg2015/bv.htm Accessed on October 13, 2016
- ↑ Bachmann GA, Nevadunsky NS (2000). "Diagnosis and treatment of atrophic vaginitis". Am Fam Physician. 61 (10): 3090–6. PMID 10839558.
- ↑ Krieger JN, Tam MR, Stevens CE, Nielsen IO, Hale J, Kiviat NB; et al. (1988). "Diagnosis of trichomoniasis. Comparison of conventional wet-mount examination with cytologic studies, cultures, and monoclonal antibody staining of direct specimens". JAMA. 259 (8): 1223–7. PMID 2448502.
- ↑ Sobel JD, Reichman O, Misra D, Yoo W (2011). "Prognosis and treatment of desquamative inflammatory vaginitis". Obstet Gynecol. 117 (4): 850–5. doi:10.1097/AOG.0b013e3182117c9e. PMID 21422855.
- ↑ Eckert LO, Hawes SE, Stevens CE, Koutsky LA, Eschenbach DA, Holmes KK (1998). "Vulvovaginal candidiasis: clinical manifestations, risk factors, management algorithm". Obstet Gynecol. 92 (5): 757–65. PMID 9794664.