Desquamative inflammatory vaginitis
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Synopsis
The exact pathogenesis of DIV is unclear; however, there is an altered vaginal microbiome (loss of lactobacilli and the presence of facultative bacteria, such as Escherichia coli and Staphylococcus aureus) and associated inflammation. Whether the dysbiosis precedes or postdates the inflammation is debated.
DIV responds well to treatment, but relapses are common.
Codes
ICD10CM:N76.0 – Acute vaginitis
SNOMEDCT:
108371000119108 – Desquamative inflammatory vaginitis
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Differential Diagnosis & Pitfalls
- Bacterial vaginosis
- Atrophic vaginitis
- Vulvovaginal candidiasis
- Trichomonas vaginitis
- Lichen planus
- Pemphigus vulgaris
- Mucous membrane pemphigoid
- Group A Streptococcus infection
- Seminal plasma hypersensitivity
- Irritant vaginitis (see anogenital irritant contact dermatitis)
- Neisseria gonorrhoeae infection
- Chlamydia trachomatis infection
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Last Reviewed:06/06/2019
Last Updated:06/06/2019
Last Updated:06/06/2019