Practical dermatology
Recurrent Vulvovaginitis: Diagnostic Assessment and Therapeutic Management
Vulvovaginitis de Repetición. Valoración Diagnóstica y Manejo Terapéutico
A. Ramírez-Santos, M. Pereiro Jr
, J. Toribio
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manuelpe@usc.es
Correspondence: Departamento de Dermatología, Facultad de Medicina, San Francisco s/n, 15782 Santiago de Compostela, La Coruña, Spain.
Correspondence: Departamento de Dermatología, Facultad de Medicina, San Francisco s/n, 15782 Santiago de Compostela, La Coruña, Spain.
Departamento de Dermatología, Complejo Hospitalario Universitario, Facultad de Medicina, Santiago de Compostela, La Coruña, Spain
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"apellidos" => "Pereiro" "sufijo" => "Jr" "email" => array:1 [ 0 => "manuelpe@usc.es" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">¿</span>" "identificador" => "cor1" ] ] ] 2 => array:2 [ "nombre" => "J." "apellidos" => "Toribio" ] ] "afiliaciones" => array:1 [ 0 => array:1 [ "entidad" => "Departamento de Dermatología, Complejo Hospitalario Universitario, Facultad de Medicina, Santiago de Compostela, La Coruña, Spain" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor1" "etiqueta" => "⁎" "correspondencia" => "Correspondence: Departamento de Dermatología, Facultad de Medicina, San Francisco s/n, 15782 Santiago de Compostela, La Coruña, Spain." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Vulvovaginitis de Repetición. Valoración Diagnóstica y Manejo Terapéutico" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaAceptado" => "2007-09-14" "PalabrasClave" => array:2 [ "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec84127" "palabras" => array:4 [ 0 => "vulvovaginal candidosis" 1 => "<span class="elsevierStyleItalic">Trichomonas</span>" 2 => "bacterial vaginosis" 3 => "allergic vulvovaginitis" ] ] ] "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec84128" "palabras" => array:4 [ 0 => "vulvovaginitis candidiásica" 1 => "<span class="elsevierStyleItalic">Trichomona</span>" 2 => "vaginosis bacterianas" 3 => "vulvovaginitis alérgica" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "en" => array:2 [ "titulo" => "Abstract" "resumen" => "<p class="elsevierStyleSimplePara elsevierViewall">Recurrent vulvovaginitis is a common problem in clinical practice. Management is often complicated by a long history of inappropriate treatments based on tentative diagnoses after an incomplete diagnostic workup. We review the most common causes of recurrent vulvovaginitis; the appropriate steps with which to establish a diagnosis, from the medical history through to the additional tests needed; and, finally, the best therapeutic options. We will focus on infectious, irritant, allergic, and hormonal causes as the ones of most interest to the dermatologist. Given that infection is the most frequent cause of these processes and also a common reason for inopportune treatment, we will pay particular attention to infectious etiologies and their differential diagnosis.</p>" ] "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<p class="elsevierStyleSimplePara elsevierViewall">Las vulvovaginitis de repetición son un problema común en la práctica clínica. El manejo de estas pacientes se complica a menudo con una larga anamnesis de tratamientos tan tentativos como inadecuados, ya que parten a menudo de un procedimiento diagnóstico incompleto. En este artículo revisamos las causas más frecuentes de estos cuadros, los pasos adecuados para establecer su diagnóstico, desde la anamnesis hasta las pruebas complementarias necesarias, y por último, las medidas terapéuticas oportunas. Nos centramos, por ser de mayor interés para el dermatólogo, en las de causa infecciosa, irritativa, alérgica y hormonal. Prestamos especial atención a los cuadros de etiología infecciosa y a su diagnóstico diferencial, por ser la causa más común de estos procesos y también frecuente motivo de tratamientos intempestivos.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:1 [ "bibliografiaReferencia" => array:65 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1." 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| Year/Month | Html | Total | |
|---|---|---|---|
| 2024 November | 4 | 12 | 16 |
| 2024 October | 61 | 55 | 116 |
| 2024 September | 79 | 56 | 135 |
| 2024 August | 78 | 94 | 172 |
| 2024 July | 76 | 95 | 171 |
| 2024 June | 73 | 35 | 108 |
| 2024 May | 63 | 70 | 133 |
| 2024 April | 51 | 40 | 91 |
| 2024 March | 56 | 69 | 125 |
| 2024 February | 40 | 54 | 94 |
| 2024 January | 46 | 49 | 95 |
| 2023 December | 43 | 29 | 72 |
| 2023 November | 49 | 42 | 91 |
| 2023 October | 56 | 35 | 91 |
| 2023 September | 51 | 54 | 105 |
| 2023 August | 35 | 59 | 94 |
| 2023 July | 36 | 57 | 93 |
| 2023 June | 36 | 29 | 65 |
| 2023 May | 40 | 52 | 92 |
| 2023 April | 27 | 94 | 121 |
| 2023 March | 20 | 32 | 52 |
| 2023 February | 34 | 18 | 52 |
| 2023 January | 40 | 47 | 87 |
| 2022 December | 31 | 30 | 61 |
| 2022 November | 18 | 36 | 54 |
| 2022 October | 22 | 24 | 46 |
| 2022 September | 23 | 32 | 55 |
| 2022 August | 21 | 33 | 54 |
| 2022 July | 20 | 35 | 55 |
| 2022 June | 19 | 43 | 62 |
| 2022 May | 45 | 67 | 112 |
| 2022 April | 44 | 51 | 95 |
| 2022 March | 53 | 62 | 115 |
| 2022 February | 47 | 37 | 84 |
| 2022 January | 31 | 47 | 78 |
| 2021 December | 27 | 42 | 69 |
| 2021 November | 26 | 43 | 69 |
| 2021 October | 38 | 54 | 92 |
| 2021 September | 33 | 47 | 80 |
| 2021 August | 25 | 21 | 46 |
| 2021 July | 38 | 30 | 68 |
| 2021 June | 40 | 46 | 86 |
| 2021 May | 26 | 38 | 64 |
| 2021 April | 61 | 50 | 111 |
| 2021 March | 40 | 35 | 75 |
| 2021 February | 48 | 29 | 77 |
| 2021 January | 29 | 21 | 50 |
| 2020 December | 28 | 17 | 45 |
| 2020 November | 22 | 19 | 41 |
| 2020 October | 24 | 14 | 38 |
| 2020 September | 17 | 15 | 32 |
| 2020 August | 28 | 18 | 46 |
| 2020 July | 15 | 9 | 24 |
| 2020 June | 25 | 27 | 52 |
| 2020 May | 13 | 10 | 23 |
| 2020 April | 18 | 28 | 46 |
| 2020 March | 22 | 29 | 51 |
| 2020 February | 0 | 12 | 12 |
| 2020 January | 0 | 19 | 19 |
| 2019 December | 0 | 14 | 14 |
| 2019 November | 0 | 29 | 29 |
| 2019 October | 0 | 60 | 60 |
| 2019 September | 0 | 166 | 166 |
| 2019 August | 0 | 178 | 178 |
| 2019 July | 0 | 157 | 157 |
| 2019 June | 0 | 147 | 147 |
| 2019 May | 4 | 191 | 195 |
| 2019 April | 0 | 47 | 47 |
| 2019 March | 0 | 42 | 42 |
| 2019 February | 0 | 30 | 30 |
| 2019 January | 0 | 3 | 3 |
| 2018 December | 0 | 5 | 5 |
| 2018 November | 0 | 2 | 2 |
| 2018 April | 0 | 7 | 7 |
| 2018 March | 2 | 6 | 8 |
| 2018 February | 22 | 16 | 38 |
| 2018 January | 25 | 32 | 57 |
| 2017 December | 36 | 21 | 57 |
| 2017 November | 15 | 21 | 36 |
| 2017 October | 19 | 9 | 28 |
| 2017 September | 25 | 27 | 52 |
| 2017 August | 40 | 27 | 67 |
| 2017 July | 32 | 42 | 74 |
| 2017 June | 50 | 44 | 94 |
| 2017 May | 44 | 29 | 73 |
| 2017 April | 38 | 52 | 90 |
| 2017 March | 35 | 64 | 99 |
| 2017 February | 21 | 32 | 53 |
| 2017 January | 24 | 29 | 53 |
| 2016 December | 33 | 31 | 64 |
| 2016 November | 29 | 49 | 78 |
| 2016 October | 31 | 79 | 110 |
| 2016 September | 47 | 24 | 71 |
| 2016 August | 44 | 16 | 60 |
| 2016 July | 32 | 23 | 55 |
| 2016 June | 6 | 20 | 26 |
| 2016 May | 4 | 22 | 26 |
| 2016 April | 8 | 15 | 23 |
| 2016 March | 1 | 15 | 16 |
| 2016 February | 6 | 15 | 21 |
| 2016 January | 10 | 18 | 28 |
| 2015 December | 9 | 15 | 24 |
| 2015 November | 10 | 17 | 27 |
| 2015 October | 8 | 19 | 27 |
| 2015 September | 7 | 18 | 25 |
| 2015 August | 17 | 11 | 28 |
| 2015 July | 53 | 32 | 85 |
| 2015 June | 55 | 29 | 84 |
| 2015 May | 103 | 41 | 144 |
| 2015 April | 62 | 37 | 99 |
| 2015 March | 48 | 41 | 89 |
| 2015 February | 32 | 24 | 56 |
| 2015 January | 51 | 38 | 89 |
| 2014 December | 65 | 20 | 85 |
| 2014 November | 56 | 24 | 80 |
| 2014 October | 70 | 50 | 120 |
| 2014 September | 68 | 26 | 94 |
| 2014 August | 69 | 35 | 104 |
| 2014 July | 72 | 34 | 106 |
| 2014 June | 78 | 19 | 97 |
| 2014 May | 82 | 19 | 101 |
| 2014 April | 83 | 23 | 106 |
| 2014 March | 72 | 29 | 101 |
| 2014 February | 53 | 40 | 93 |
| 2014 January | 53 | 34 | 87 |
| 2013 December | 63 | 33 | 96 |
| 2013 November | 47 | 40 | 87 |
| 2013 October | 35 | 33 | 68 |
| 2013 September | 38 | 42 | 80 |
| 2013 August | 38 | 54 | 92 |
| 2013 July | 37 | 71 | 108 |
| 2013 June | 33 | 52 | 85 |
| 2013 May | 39 | 63 | 102 |
| 2013 April | 26 | 55 | 81 |
| 2013 March | 42 | 33 | 75 |
| 2013 February | 24 | 23 | 47 |
| 2013 January | 17 | 6 | 23 |
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