1/2. vulvodynia ... the problem exists here!A case of vulvodynia is being reported here. This is a frustrating disorder affecting young women. A 36 years old lady initially being treated non-specifically for vulval pain, dysparunia and vaginal discharge, for several months was investigated in the gynaecology unit of Combined Military Hospital, Rawalpindi. Examination was possible only under anaesthesia and biopsy report confirmed Erosive lichen planus. After dermatological consultation she responded well to steroids. She was counselled about the risk of recurrence and small risk of malignancy.- - - - - - - - - - ranking = 1keywords = gynaecology (Clic here for more details about this article) |
2/2. Vulval Crohn's disease-- a multi-specialty approach.We report a case of Crohn's disease where the patient initially presented with vulval ulceration to the gynaecology unit. Initial investigations were planned jointly by both the gynaecology and genitourinary medicine staff. An examination under general anaesthetic by both teams was performed and biopsies taken. These showed a chronic inflammatory process with epithelioid granulomas. The teams then referred the case to the dermatology team who made the diagnosis of vulval Crohn's disease and initiated treatment with prednisolone and azathioprine. The case illustrates the need for a multi-speciality approach when dealing with such cases.- - - - - - - - - - ranking = 2keywords = gynaecology (Clic here for more details about this article) |