Diabetic vulvitis - Anogenital in
Nearly three-quarters of all women experience candidal vulvitis in their lifetime, and approximately one-half of these women have multiple episodes. Diabetics, in particular, are predisposed to recurrent disease. Diabetes predisposes to vulvitis both through general immune dysfunction and because of elevation of blood sugar, which allows for overgrowth of some commensals, including yeast.
Related topics: Diabetes mellitus type 1, Diabetes mellitus type 2, Vulvovaginal candidiasis
N76.89 – Other specified inflammation of vagina and vulva
198217000 – Vulvitis associated with another disorder
- Contact dermatitis – either irritant or allergic contact dermatitis may be observed and is related to the use of personal hygiene products, spermicides, or other contactants upon the skin.
- Inverse psoriasis (see psoriasis) – the patient is more inclined to have additional evidence of psoriasis on the skin or in the nails. A family history is present in one-third of cases of psoriasis, and the condition would not be associated with visible yeast overgrowth visualized on a KOH wet preparation.
- Bacterial vaginitis – produces visible "clue cells" on a KOH wet preparation with a positive amine smell ("whiff test").
- Trichomoniasis – produces visible trichomonad organisms on a KOH wet preparation.
- Lichen planus – a condition associated with intense pruritus and sometimes painful erosion and ulceration. The condition is not specifically associated with diabetes and often involves the oral mucosa as well. Wickham's striae are white lacy plaques seen in mucosal lichen planus.
- Lichen sclerosus – a chronic condition causing atrophic pruritic or painful plaques on the vulva and perianal area. The lesion results in fragile porcelain-white skin that often has associated purpura, fissuring, and skin breakdown.