Vulvovaginal candidiasis in Adult
Patients will often present with complaints of itching, burning, and a clumping discharge. Alternatively, there may be little vaginal discharge but instead erythema with or without scale on the vulva. While most infections are uncomplicated and limited, some women experience recurrent vulvovaginal candidiasis (4 or more episodes in 1 given year) without an obvious explanation.
Immunocompromised patients are at increased risk for candidiasis, including those with diabetes (see diabetic vulvitis), HIV, autoimmune conditions, and obesity, as well as individuals being treated with chemotherapy. Other more common potential inciting events include pregnancy, use of systemic antibiotics or steroids, frequent intercourse, use of immunosuppressive medication, sex with a new partner, certain vaginal lubricants or washes, oral contraceptive pills, and estrogen therapy.
Vulvovaginal candidiasis is not a sexually transmitted disease.
B37.3 – Candidiasis of vulva and vagina
72934000 – Vaginal candidiasis
Differential Diagnosis & Pitfalls
- Candida infection often complicates all irritated vulvar eruptions (lichen sclerosus, lichen simplex chronicus, etc). Candidiasis can cause cyclic vulvovaginitis, which occurs at the same time each month around the menses with minimal discharge. Pre-menarchal girls are a common group to have lichen sclerosus.
- Allergic contact dermatitis
- Irritant contact dermatitis
- Molluscum contagiosum
- Vulvar cancer
- Paget disease
- Vulvovaginal atrophy
- Desquamative inflammatory vaginitis
Drug Reaction Data