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Causes of Vulval Ulceration

 
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Nick Raine-Fenning
Course Director


Joined: 27 May 2006
Posts: 1862
Location: Nottingham

PostPosted: Sun Oct 08, 2006 4:25 pm    Post subject: Causes of Vulval Ulceration Reply with quote

The following are all recognised causes of vulval ulceration:

Herpes simplex

Aphthous ulcers

Behcet’s disease

Lipschutz (? Epstein-Barr virus)

Chancroid (Haemophilus ducreyi)

Crohn’s disease

Primary syphilis (chancre) * not secondary

Donavanosis

Tuberculosis

Stevens-Johnson syndromes

Dermatitis artefacta

Benign mucous membrane pemphigoid

Pyoderma gangrenosum

Histiocytosis X

Granuloma inguinale

Granular cell myoblastoma

Hidradenoma

Carcinoma


Hope that helps Smile

The College seem to love the vulva and have a special interest in things that cause it to ulcerate Laughing
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Nick Raine-Fenning
Course Director


Joined: 27 May 2006
Posts: 1862
Location: Nottingham

PostPosted: Sun Oct 08, 2006 4:29 pm    Post subject: Reply with quote

Now it's your turn guys Wink


Question 1
Which of the above are associated with painless vulval ulceration?


Question 2
Which of the above are associated with multiple vulval ulcers?


Question 3
Which of the above are associated with systemic ulceration?


Please post any other questions you feel are relevant.
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rpwalavalkar
Teale Fenning Administrator


Joined: 20 Jul 2006
Posts: 973

PostPosted: Mon Oct 09, 2006 5:22 pm    Post subject: possible benign vulvar disease classification Reply with quote

Inflammatory diseases

Lichen sclerosus

Squamous cell hyperplasia (with and without atypia)

Lichen simplex chronicus (localized neurodermatitis)

Primary irritant dermatitis

Intertrigo

Allergic contact dermatitis

Fixed drug eruption

Erythema multiforme

Toxic epidermal necrolysis

Atopic dermatitis

Seborrheic dermatitis

Psoriasis

Reiter disease

Lichen planus

Lupus erythematosus

Darier disease

Aphthosis and Behcet disease

Pyoderma gangrenosum

Crohn disease

Hidradenitis suppurativa

Fox-Fordyce disease

Plasma cell vulvitis

Vulvar vestibulitis syndrome


Blistering diseases

Familial benign chronic pemphigus (Hailey-Hailey disease)

Bullous pemphigoid

Cicatricial pemphigoid

Pemphigus vulgaris

Erythema multiforme

Epidermolysis bullosa


Pigmentary changes

Acanthosis nigricans

Lentigo, lentiginosis, and benign vulvar melanosis

Melanocytic nevus

Postinflammatory hyperpigmentation

Postinflammatory hypopigmentation

Vitiligo


Benign tumors, hamartomas, and cysts

Mucous cysts

Bartholin and Skene duct cysts

Epidermal inclusion cyst

Seborrheic keratosis

Acrochordon (fibroepithelial polyp)

Fibroma, fibromyoma, and dermatofibroma

Lipoma

Hidradenoma

Hemangioma

Lymphangioma

Angiokeratoma

Pyogenic granuloma

Endometriosis

Heterotopic sebaceous glands and sebaceous gland hyperplasia

Papillomatosis (papillary vulvar hirsutism)


Congenital malformations

Ambiguous external genitalia

Congenital labial hypertrophy

Labial adhesions


Atrophy of the vulva
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Dr Miss. Raj Walavalkar MBBS MRCOG
TealeFenning Administrator
SR O&G Wessex Region
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Nick Raine-Fenning
Course Director


Joined: 27 May 2006
Posts: 1862
Location: Nottingham

PostPosted: Mon Oct 09, 2006 9:02 pm    Post subject: Reply with quote

Thanks Raj - that's a great list Smile

One question the College like to ask is which of your vulval lesions are cystic and which are solid?

Do you know?
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rpwalavalkar
Teale Fenning Administrator


Joined: 20 Jul 2006
Posts: 973

PostPosted: Tue Oct 10, 2006 3:52 pm    Post subject: Reply with quote

cystic vulval lesions

epidermal inclusion cyst
pilonidal cyst
sebaceous cyst
hidradenoma
Fox-Fordyce disease
syringoma
mesonephric (Gartner's duct) cyst
paramesonephric (mullerian duct) cyst
urogenital sinus (mucus) cyst
cysts of canal of Nuck
cysts of supernumerary mammary glands
adenosis
dermoid cysts
bartholin duct cyst
bartholin duct abscess
endometriosis
cystic lymphangioma
liquified hematoma
vulvar varicosity
anterior perineal hernia
vaginitis emphysematosis


solid vulval lesions

condyloma accuminatum
molluscum contagiosum
acrochordon
fibroepithelial polyp
accessory nipple
seborrheic keratosis
nevus
hidradenoma
sebaceous adenoma
basal cell carcinoma
fibroma
lipoma
neurofibroma
leiomyoma
granular cell myoblastoma
hemangioma
pyogenic granuloma
lymphangioma
adenofibroma


pigmented vulval lesions

nevus
melanosis
melanoma
squamous cell carcinoma in situ
lentigo
seborrheic keratosis
Bowenoid papulosis - atypical condylomata


white vulval lesions

vitiligo
condyloma accuminata
lichen planus
psoriasis
diabetic vulvitis
lichen sclerosis
squamous cell carcinoma insitu
Paget's disease of vulva


red vulval lesions

candidiasis
vaginal intraepithelial neoplasia
squamous cell hyperplasia
Paget's disease
invasive carcinoma
seborrheic dermatitis
psoriasis
lichen planus
tinea cruris
erythrasma
contact irritant vulvitis



ulcerative vulval lesions

herpes genitalis
Behcet's disease
Crohn's disease
syphilis
granuloma inguinale
granular cell myoblastoma
hidradenoma
invasive carcinoma
basal cell carcinoma
traumatic ulcer
anal fistula
pemphigus vulgaris
tuberculosis
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Dr Miss. Raj Walavalkar MBBS MRCOG
TealeFenning Administrator
SR O&G Wessex Region


Last edited by rpwalavalkar on Thu Oct 12, 2006 7:58 pm; edited 1 time in total
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Nick Raine-Fenning
Course Director


Joined: 27 May 2006
Posts: 1862
Location: Nottingham

PostPosted: Tue Oct 10, 2006 4:30 pm    Post subject: Reply with quote

You are the font of all knowledge Smile

Great work - excellent lists.

I wish I had these when I was taking Part 2. It may seem an easy thing to do but it takes time resourcing these lists so thanks for being kind enough to share your hard work with everyone. I am sure they appreciate it.
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