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Differential Diagnosis for Vulvar Itching

Single Most Likely Diagnosis

  • Candidiasis (Vulvovaginal Yeast Infection): This is often the most common cause of vulvar itching due to the prevalence of yeast infections in the female population. The itching is usually accompanied by a white, cottage cheese-like discharge and redness.

Other Likely Diagnoses

  • Contact Dermatitis: This can occur due to irritation from soaps, douches, or other products that come into contact with the vulvar area, leading to itching and sometimes a rash.
  • Lichen Sclerosus: A chronic inflammatory skin condition that can cause itching, pain, and white patches on the vulva.
  • Lichen Planus: An autoimmune condition that can affect the skin and mucous membranes, leading to vulvar itching, pain, and sometimes erosions.
  • Atopic Dermatitis (Eczema): Can affect the vulvar area, causing itching, redness, and sometimes small bumps.

Do Not Miss Diagnoses

  • Squamous Cell Carcinoma or Other Vulvar Cancers: Although rare, vulvar cancer can present with itching as an early symptom. Missing this diagnosis could be fatal, making it crucial to consider, especially in postmenopausal women or those with a history of HPV.
  • Herpes Simplex Virus (HSV): Can cause severe itching, along with painful blisters or ulcers. It's essential to diagnose and treat to prevent complications and transmission.
  • Syphilis: A sexually transmitted infection that can cause a variety of symptoms, including itching in its early stages, and can have severe consequences if left untreated.

Rare Diagnoses

  • Vulvar Intraepithelial Neoplasia (VIN): A precancerous condition that can cause itching and is often associated with HPV infection.
  • Paget's Disease of the Vulva: A rare form of vulvar cancer that presents with itching and a rash.
  • Zinc Deficiency: Can lead to skin lesions and itching in various parts of the body, including the vulva.
  • Psychogenic Causes: Such as vulvodynia, where the itching may be related to psychological factors rather than a physical cause.

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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