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Cervical Ectropion May Be a Cause of Desquamative Inflammatory Vaginitis

机译:宫颈内翻可能是引起皮肤炎性阴道炎的原因

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摘要

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.
机译:脱皮性炎性阴道炎是一种病因尚不明确的慢性阴道炎。脱皮性炎性阴道炎的症状包括大量泛黄的分泌物,外阴阴道不适和性交困难。子宫颈外翻,子宫颈上存在腺性柱状细胞,尚未见报道是引起脱皮性炎性阴道炎的原因。尽管宫颈外翻可作为正常的临床发现,但据报道可引起白带,子宫出血,性交困难和外阴阴道刺激。患有宫颈外翻和脱屑性炎性阴道炎的患者经常被误诊为念珠菌病或细菌性阴道病,并反复治疗而无症状缓解。我们报道了一名有4年丰富的淡黄色分泌物和性交困难的病史的34岁妇女的病例。出现后,她的症状和实验室检查结果符合脱皮性炎性阴道炎的标准,但标准治疗未能长期缓解。作为最后的手段,对子宫颈进行了冷冻疗法(冷冻外科手术)以治疗其宫颈外翻,从而完全缓解了她的症状。>米切尔L,国王M,布里尔哈特H,戈德斯坦A。宫颈内翻可能是原因性炎性阴道炎的治疗。 Sex Med 2017; 5:e212-e214。

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