Re: any idea???

From: Sing-Hung Chang (changl@cariari.ucr.ac.cr)
Sun Mar 9 23:25:02 1997


Is it pruritus or pain? If it's pruritus (itching), I don't know if you already ruled out pinworm infection. It's typically perianal, but it might spread to the vulva sometimes. Just a thought :)

--
----------
> From: Tony Blair <antoineb@quebectel.com>
> To: Multiple recipients of list <ob-gyn-l@talk.obgyn.net>
> Subject: Re: any idea???
> Date: Sunday, March 09, 1997 4:27 PM
>
> Dear listmembers,
>         I need some sugggestions for this problem:
>
> 14 yo white female patient, menarche at 12. Never had sex. Have
vulvodynia
> since two yr. Very intense vulvar pruritus, day and night. This young
girl
> is very comprehensive and collaborative. Cannot tolerate this symptom
anymore...
>
> -exam is negative (hymen intact)
> -cultures are negatives: no fungus
> -no chemical: soap, lotion, perfumes, etc
> -tried : antifungals (empirically) and steroids creams; topical estrogen
or
> testosterone; Elavil with no
>          result at all...
>
> Any idea on the etiology of this vulvar itching. What else to try/to do ?
>
> Thanks for your attention
>
> Tony Blair md (OB/GYN)
> Rimouski (Quebec)
> Canada




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