Re: vaginal itching

From: Garry E. Siegel, M.D. (garrys@mindspring.com)
Wed Oct 6 19:34:59 2004


Negative culture for yeast?

Empiric Diflucan 200 mg./weekly until asymptomatic, then every other week, and slowly taper.

Garry

At Wed, 6 Oct 2004, Terrence.Jones@kp.org wrote: >
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>Desquamative inflammatory vaginitis (Sobel AJOG 11/94, 171:1215-20) -
>Intravag clinda. tj
>
>"Richard Chudacoff, MD" <rchudacoff@mylinuxisp.com>
>Sent by: ob-gyn-l@obgyn.net
>10/06/2004 12:39 PM
>Please respond to ob-gyn-l
>
> To: Multiple recipients of list OB-GYN-L <ob-gyn-l@dns.obgyn.net>
> cc:
> Subject: vaginal itching
>
>Patient with persistent vaginal/labial itching. Negative workup including
>monilia, BV, HSV, lichen sclerosis. Refractory to clobetasol, fluconazole,
>metronidazole. Only thing that works is Vagisil, but that is starting to
>decrease in efficacy too. Any suggestions?
>
>Richard Chudacoff, MD
>
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><br><font size=2 face="sans-serif">Desquamative inflammatory vaginitis (Sobel AJOG 11/94, 171:1215-20) - Intravag clinda. tj</font>
><br>
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><td><font size=1 face="sans-serif"><b>"Richard Chudacoff, MD" <rchudacoff@mylinuxisp.com></b></font>
><br><font size=1 face="sans-serif">Sent by: ob-gyn-l@obgyn.net</font>
><p><font size=1 face="sans-serif">10/06/2004 12:39 PM</font>
><br><font size=1 face="sans-serif">Please respond to ob-gyn-l</font>
><br>
><td><font size=1 face="Arial">        </font>
><br><font size=1 face="sans-serif">        To:        Multiple recipients of list OB-GYN-L <ob-gyn-l@dns.obgyn.net></font>
><br><font size=1 face="sans-serif">        cc:        </font>
><br><font size=1 face="sans-serif">        Subject:        vaginal itching</font></table>
><br>
><br><font size=2 face="Arial">Patient with persistent vaginal/labial itching. Negative workup including monilia, BV, HSV, lichen sclerosis. Refractory to clobetasol, fluconazole, metronidazole. Only thing that works is Vagisil, but that is starting to decrease in efficacy too. Any suggestions?</font>
><br><font size=2 face="Arial"> </font>
><br><font size=2 face="Arial">Richard Chudacoff, MD</font>
><br><font size=2 face="Arial"> </font>
><br><font size=3 face="Times New Roman"> </font>
><br>

--
Garry E. Siegel, M.D.
Private Practice
Roswell, GA




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