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Review Article
Current Concepts
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Volume 337:1896-1903 December 25, 1997 Number 26
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Vaginitis
Jack D. Sobel, M.D.

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Symptoms of vaginitis are nonspecific, and neither self-diagnosis nor diagnosis by a physician is reliable without laboratory confirmation. The management of vaginitis remains largely empirical, and many assume that vaginitis is never life-threatening and that empirical therapy is always harmless. Vulvovaginitis, although frequently the result of infection, may also have noninfectious causes (Table 1); moreover, mixed infections are not uncommon.

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Table 1. Causes of Vaginitis.

 
Candida Vulvovaginitis

The epidemiologic data on candida vulvovaginitis, a nonreportable disease, are incomplete. Prevalence estimates rely mainly on self-reported histories of diagnosis by a physician. Vulvovaginal candidiasis is routinely diagnosed without the benefit of microscopy or culture, . . . [Full Text of this Article]

Pathogenesis

Diagnosis

Therapy

Recurrent Vulvovaginal Candidiasis

Trichomoniasis

Diagnosis

Therapy

Bacterial Vaginosis

Diagnosis

Therapy

Atrophic Vaginitis

Desquamative Inflammatory Vaginitis

Noninfectious Vaginitis and Vulvitis

Vaginitis in HIV-Seropositive Women


Source Information

From the Division of Infectious Diseases, Department of Internal Medicine, Wayne State University School of Medicine and Detroit Medical Center, Detroit.

Address reprint requests to Dr. Sobel at the Division of Infectious Diseases, Suite 2140, Harper Professional Bldg., 4160 John R St., Detroit, MI 48201.

References


Related Letters:

Vaginitis
Donders G. G.G., Desmyter J., Vereecken A., Culver B. D., Smally A. J., Sobel J. D.
Extract | Full Text  
N Engl J Med 1998; 338:1548-1549, May 21, 1998. Correspondence

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