Itchy 2

Skin & Subcutaneous Tissue

{"ops":[{"insert":"Diagnosis and reasoning"},{"insert":"\n","attributes":{"header":1}},{"insert":"This middle-aged woman has presented with prolonged vulvar itching (pruritus vulvae), along with dysuria and dyspareunia.\n\nDuring the postmenopausal period, these symptoms may be the result of declining estrogen levels and subsequent urogenital atrophy; on the other hand, vulvar itching in this demographic can also be a symptom of vulvar cancer. \n \nOther potential differentials include allergic and irritant contact dermatitis, and vulvar dermatoses, which include lichen sclerosus (LS), lichen planus (LP), vulvar eczema, and psoriasis.\n\nNote that infectious vulvovaginitis and vulvovaginal candidiasis, while a common cause of this presentation during the reproductive years, are clinically less likely in the postmenopausal period.\n\nThe examina"}]}

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