Vaginosis citolítica: un diagnóstico diferencial poco frecuente de vulvovaginitis micótica a repetición
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Fecha
2010
Profesor/a Guía
Facultad/escuela
Idioma
en
Título de la revista
ISSN de la revista
Título del volumen
Editor
Sociedad Chilena de Obstetricia y Ginecología
Nombre de Curso
Licencia CC
Licencia CC
Resumen
Resumen: Los síntomas compatibles con vaginitis y vaginosis, son la causa más frecuente de consulta al ginecólogo. La descarga vaginal abundante y el prurito, constituyen la primera sospecha de estas patologías. Sin embargo, debemos tener presente que el aumento significativo de lactobacilos, conocido como lactobacilosis, puede expresarse también con los mismos síntomas y signos de una vulvovaginitis micótica. Si esta condición se mantiene en el tiempo, puede provocar un grado de acidez anormal en la vagina, y puede llevar a una lisis de las células epiteliales que se conoce como vaginosis citolítica. Este diagnóstico, aunque es poco frecuente, debemos sospecharlo especialmente, en aquellas mujeres que relatan tener múltiples consultas por candidiasis vaginal, con escasa o nula respuesta frente a la terapia antimicótica.
Summary: The symptoms consistent with vaginitis and vaginosis are the most common cause of the visit to the gynecologist. Heavy vaginal discharge and pruritus are the first suspicion of this pathology. However, the significant increase in lactobacilli, known as lactobacilosis can be expressed also with the same symptoms and signs of a fungal vulvovaginitis. If this condition is maintained overtime, can cause abnormal acidity in the vagina, and may lead to epithelial cell lysis, which is known as cytolytic vaginosis. This diagnosis, although rare, should be suspected especially in women who reported having multiple consultations for vaginal candidiasis, with little or no response to antifungal therapy.
Summary: The symptoms consistent with vaginitis and vaginosis are the most common cause of the visit to the gynecologist. Heavy vaginal discharge and pruritus are the first suspicion of this pathology. However, the significant increase in lactobacilli, known as lactobacilosis can be expressed also with the same symptoms and signs of a fungal vulvovaginitis. If this condition is maintained overtime, can cause abnormal acidity in the vagina, and may lead to epithelial cell lysis, which is known as cytolytic vaginosis. This diagnosis, although rare, should be suspected especially in women who reported having multiple consultations for vaginal candidiasis, with little or no response to antifungal therapy.
Notas
Indexación: Scielo
Palabras clave
Vaginosis citolítica, Vulvovaginitis, Lactobacilos, Lactobacilosis, Citólisis, Flora comensal, Micosis vaginal, Cytolytic vaginosis, Vulvovaginitis, Lactobacilli, Lactobacillosis, Citolysis, Commensal flora, Vaginal mycosis
Citación
Revista chilena de obstetricia y ginecología, Vol. 75, N° 3, pp. 194-198, 2010.