Staphylococcus aureus

Staphlococus Disease The Vaginal

Staphylococcus aureus genital skin infections vary in appearance and severity. The staphylococcal bacterium is characterized by gram-positive cocci in clusters under the microscope. Bacteria often gain access to underlying tissue through abrasions, burns, bites, cuts, fissures, or surgical incisions. Both community-acquired and hospital-acquired staphylococcal infections have continued to rise. Genital staphylococcal infections are most often manifested as impetigo (superficial epidermal...

Epidermal Inclusion Cyst Vulva

Bartholins Cyst

A A large swelling is noted on the left. B The cyst wall is lined by transitional epithelium, consistent with Bartholin's duct. Figure 1 Bartholin's cyst. A A large swelling is noted on the left. B The cyst wall is lined by transitional epithelium, consistent with Bartholin's duct. Figure 2 Epidermal inclusion cysts. A Multiple firm tan nodules are seen. B The cyst is lined by stratified squamous epithelium. The cyst contents are composed of keratinaceous debris....

Genital Anomalies Without Intersex

Remains The Hymen

Vaginal agenesis is a rare abnormality (1 per 4000-1 per 10,000 females) due to failure of development of the Mullerian duct system (21). This is usually associated with absent corpus and cervix (Mayer-Rokitansky-Kuster-Hauser syndrome), but 7 to 10 will have a normal or rudimentary obstructed uterus. Extragenital, mainly uro-logical, and skeletal abnormalities are seen in 25 to 50 . The ovaries are normal (22). Transverse vaginal septa are very rare, with an incidence of 1 in 30,000 to 1 in...

Fibroepithelial Stromal Polyp Acrochordon Skin

Cyst The Canal Nuck

Fibroepithelial polyps acrochordons are more common in the vagina, but are seen in the vulva. They may be single, or multiple, particularly during pregnancy Figure 5 Cyst of the canal of Nuck cysts of the canal of Nuck are lined by a flattened mesothelial lining. Figure 5 Cyst of the canal of Nuck cysts of the canal of Nuck are lined by a flattened mesothelial lining. Inguinal or labial mass. Hernia may become incarcerated Lipoma, leiomyoma, Sarcoma 11 , indirect hernia, Bartholin's cyst, or...

Inflammatory Dermatoses Eczema

Desquamative Inflammatory Vaginitis

Vulvar eczema is characterized by erythema and scaling on the outer labia majora and erythema and fissures and erosions on the inner aspects. Vulvar eczema is pruritic, often out of proportion to the clinical findings. The skin may become ede-matous, excoriated, and lichenified because of scratching. This is the commonest form of vulvar eczema in clinical practice. This is usually seen in the elderly and is often because of urinary incontinence. It is also more likely to occur in fair-skinned...

Micropapillomatosis Labialis

Micropapillomatosis

Micropapillomatosis labialis MPL is characterized by multiple, small uniform finger-like projections, usually on the inner labia minora and within the vestibule Fig. 9 . The projections are composed of a stromal core covered by unremarkable Figure 7 Endometriosis. A See color insert Grossly endometriotic implants on the vulva often have a blue appearance. B,C The criterion for definitive diagnosis of endometriosis histologically is the presence of endometrial glandular epithelium and stroma. In...

Fungal Infections Candidiasis

Vulva Insert

Vulvovaginal yeast infections are very common, medically trivial but sometimes symp-tomatically miserable infections. Most women and many physicians rightly or wrongly attribute nearly all vulvovaginal symptoms to vulvovaginal candidiasis. The majority of vulvovaginal yeast is produced by Candida albicans, but an increasingly large proportion of yeast infections involve Candida glabrata, Candida tropicalis, Candida parapsilosis, Candida krusei, Candida lusitaniae, Saccharomyces cerevisiae, or...

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Vulvodynia Inner Labia

Acanthosis nigricans (AN), 63 diagnosis, 110 histopathology, 110 pathophysiology, 110 treatment, 111 Acrochordons. See Fibroepithelial stromal polyp Adenocarcinoma Bartholin's, 160 Skene's gland, 172, 174 Adenosis, vestibular, 138-139 Angiokeratoma, 150-151 Angiomyofibroblastoma, 151, 153 Angiomyxoma, aggressive, 152, 154 Anogenital disease, 48 Apocrine glands, 46 Atypical junctional melanocytic hyperplasia (AJMH) biologic behavior, 116 histopathology, 117 treatment, 117 Bacterial folliculitis,...

Hidradenitis Suppurativa

Hidradenitis Suppurativa

This is a chronic inflammatory disease occurring on skin containing apocrine glands. It is commoner in women and occurs in the anogenital area as well as the axillae, breasts, thighs, and buttocks. It is a problem of follicular occlusion with the consequent complications of obstruction to the outflow of other apocrine and sometimes sebaceous glands (18). It can be associated with similar conditions such as conglobate acne and pilonidal sinus. Bacteria play a secondary but important role, in the...

Zoons Vulvitis Plasma Cell Vulvitis

Severe Vulvar Lichen Sclerosus

There is some doubt whether plasma cell vulvitis PCV is a distinct clinicopatholo-gical entity as many of the reports in females of Zoon's are probably LP 14 . A plasma-cell-rich infiltrate in a vestibular biopsy may be a misleading finding because plasma cells are commonly found in inflammatory conditions of the vestibule because it is a mucosal epithelium, so PCV is probably not a single disease entity but represents a reaction pattern to other inflammatory conditions such as LP Fig. 9A and B...

Necrotizing Fasciitis Deep Tissue Necrotizing Infection

Necrotizing Fasciitis Disease Process

The term necrotizing fasciitis'' was first used by Wilson in 1952 to describe bacterial infection producing necrosis of the fascia and subcutaneous tissue with sparing of the underlying muscle. Over half of these infections occur on the perineum, where they are called Fournier's gangrene (35). Common recent terminology that is less specific but includes serious destructive necrotizing infection is that of deep tissue necrotizing infection. These infections share common causes and treatment. The...

Molluscum Contagiosum

Vulvovaginal Papillomatosis

Molluscum contagiosum is a benign lesion produced by a virus that is a member of the Poxviridae family. Transmission occurs by direct skin contact with an infected individual, and when occurring on anogenital skin, it is generally sexually transmitted. However, genital mollusca in a child do not suggest sexual contact. Most often, molluscum contagiosum is an asymptomatic infection, although when the immune system mounts an inflammatory reaction itching can occur. Mol-luscum contagiosum in...

Pityriasis Versicolor

Tinea Versicolor Labia

Pityriasis versicolor is a fungal infection of keratinized skin produced by several different kinds of Malassezia species 55 . Also known by the misnomer, tinea Diagnosis Symptoms Clinical appearance Differential diagnosis Red, well-demarcated scaling plaques with accentuation of peripheral scale on proximal, medial thighs Psoriasis, lichen simplex chronicus eczema, candidiasis, erythrasma Any topical azole cream or terbinafine. If fungal folli-culitis is present, oral griseofulvin,...