Abstract

LIMA-SILVA, Joana; TAVARES, Sara; VIEIRA-BAPTISTA, Pedro  and  BEIRES, Jorge. Desquamative inflammatory vaginitis. Acta Obstet Ginecol Port [online]. 2016, vol.10, n.4, pp.317-325. ISSN 1646-5830.

Desquamative inflammatory vaginitis (DIV) is a well characterized clinical syndrome of unknown aetiology and pathogenesis. It presents as a diffuse exudative vaginitis, with pain, profuse purulent discharge and epithelial cells exfoliation. Diagnosis is often difficult, since it shares several characteristics with other vulvovaginal inflammatory disorders. Wet mount plays a key role, presenting a marked increase in leukocytes and parabasal cells; pH is elevated (>4.5). The exclusion of other causes of purulent vaginitis is mandatory for the diagnosis. Although the treatment can be a challenge, often requiring maintenance since relapse is common, good results are described with topical clindamycin and corticosteroids.

Keywords : Vaginitis; Purulent vaginitis; Chronic vaginitis; Dyspareunia; Vaginal discharge.

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