Pruritus vulvae

Pruritus vulvae is itchiness of the vulva, which is the counterpart of pruritus scroti, and may have many different causes.^[1]^: 56 Patch testing may be used to diagnose the cause.^[2]

Causes

This condition is a symptom of an underlying condition more often than it is a primary condition. Vulva irritation can be caused by any moisture left on the skin. This moisture may be perspiration, urine, vaginal discharge or small amounts of stool. It may be caused by vaginal infections, vulvitis, HPV (human papilloma virus) infection, anal incontinence, Bowen's disease, or dietary irritants (caffeine, potatoes, chilli, capsicum, tomatoes, and peanuts).

Treatment with antibiotics can lead to a yeast infection and irritation of the vulva. Some diseases increase the possibility of yeast infections, such as diabetes mellitus.

Chronic inflammation of the vulva predisposes to the development of premalignant or malignant changes.

References

^ James WD, Berger T, Elston D (2006). Andrews' Diseases of the Skin: Clinical Dermatology (10th ed.). Philadelphia: Saunders Elsevier. ISBN 978-0-7216-2921-6.
^ Utaş S, Ferahbaş A, Yildiz S (2008). "Patients with vulval pruritus: patch test results". Contact Dermatitis. 58 (5): 296–8. doi:10.1111/j.1600-0536.2008.01325.x. PMID 18416761.

v t e Dermatitis and eczema
Atopic dermatitis	Prurigo gestationis Sweat allergy
Seborrheic dermatitis	Pityriasis simplex capillitii Cradle cap
Contact dermatitis (allergic, irritant)	plants: Urushiol-induced contact dermatitis African blackwood dermatitis Tulip fingers other: Abietic acid dermatitis Diaper rash Airbag dermatitis Baboon syndrome Contact stomatitis Metal allergy Protein contact dermatitis
Eczema	Autoimmune estrogen dermatitis Autoimmune progesterone dermatitis Breast eczema Ear eczema Eyelid dermatitis Topical steroid withdrawal Hand eczema Dyshidrosis Hyperkeratotic hand dermatitis Autosensitization dermatitis/Id reaction Candidid Dermatophytid Molluscum dermatitis Circumostomy eczema Juvenile plantar dermatosis Nummular eczema Nutritional deficiency eczema Sulzberger–Garbe syndrome Xerotic eczema
Pruritus/Itch/ Prurigo	Lichen simplex chronicus/Prurigo nodularis by location: Pruritus ani Pruritus scroti Pruritus vulvae Scalp pruritus Drug-induced pruritus Hydroxyethyl starch-induced pruritus Senile pruritus Aquagenic pruritus Aquadynia Adult blaschkitis due to liver disease Biliary pruritus Cholestatic pruritus Prion pruritus Prurigo pigmentosa Prurigo simplex Puncta pruritica Uremic pruritus
Other	substances taken internally: Bromoderma Fixed drug reaction Nummular dermatitis Pityriasis alba Papuloerythroderma of Ofuji

Female diseases of the pelvis and genitals

Internal

Adnexa

Ovary	Endometriosis of ovary Female infertility Ovulatory disorder Anovulation Oligoovulation Poor ovarian reserve Mittelschmerz Oophoritis Ovarian apoplexy Ovarian cyst Corpus luteum cyst Follicular cyst of ovary Theca lutein cyst Ovarian hyperstimulation syndrome Ovarian cancer Ovarian torsion
Fallopian tube	Female infertility Fallopian tube obstruction Fallopian tube cancer Hematosalpinx Hydrosalpinx Salpingitis

Uterus

Endometrium

Asherman's syndrome Dysfunctional uterine bleeding Endometrial hyperplasia Endometrial polyp Endometriosis Endometritis
Menstruation	Flow Amenorrhea Hypomenorrhea Oligoamenorrhea Oligomenorrhea Polymenorrhea (epimenorrhea) Pain Dysmenorrhea Premenstrual syndrome Timing Menorrhagia (hypermenorrhea) Metrorrhagia Mixed Menometrorrhagia Polymenorrhagia Other Metropathia haemorrhagica
Female infertility Recurrent miscarriage

Myometrium

Parametrium

Parametritis

Cervix

General

Vagina

Hematocolpos / Hydrocolpos Leukorrhea / Vaginal discharge Vaginitis Atrophic vaginitis Bacterial vaginosis Candidal vulvovaginitis Hydrocolpos Vaginal atresia
Sexual dysfunction	Dyspareunia Hypoactive sexual desire disorder Sexual arousal disorder Vaginal cancer Vaginismus
Urogenital fistulas Ureterovaginal Vesicovaginal Obstetric fistula Rectovaginal fistula Prolapse Cystocele Cul-de-sac hernia Enterocele Rectocele Sigmoidocele Urethrocele
Vaginal bleeding Postcoital bleeding

Other

External

Vulva	Vulvar cancer Bartholin's cyst Kraurosis vulvae Vestibular papillomatosis Vulvitis Vulvodynia Persistent genital arousal disorder

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