Differential Diagnosis for Vulva Burning and Irritation
Single Most Likely Diagnosis
- Vulvovaginal candidiasis: This is a common condition caused by a yeast infection, leading to symptoms such as vulvar burning, itching, and irritation. It's often associated with a white, cottage cheese-like discharge.
Other Likely Diagnoses
- Contact dermatitis: An allergic reaction or irritation from soaps, detergents, or other products can cause vulvar burning and irritation.
- Vulvar lichen sclerosus: A chronic skin condition that can cause itching, burning, and pain in the vulvar area, often associated with white, patchy skin changes.
- Urinary tract infection (UTI): While primarily affecting the urinary system, UTIs can cause discomfort and burning sensations in the vulvar area, especially during urination.
- Vulvodynia: A condition characterized by chronic pain, burning, or discomfort in the vulva without an identifiable cause.
Do Not Miss Diagnoses
- Herpes simplex virus (HSV): Although less common, genital herpes can cause severe vulvar burning and irritation, along with vesicles or ulcers. Missing this diagnosis could lead to complications and the risk of transmission.
- Squamous cell carcinoma of the vulva: A rare but serious condition where vulvar burning and irritation could be symptoms of an underlying malignancy. Early detection is crucial for effective treatment.
- Lichen planus: An autoimmune condition that can affect the vulva, causing burning, itching, and pain. It's essential to diagnose and treat to prevent long-term complications.
Rare Diagnoses
- Vulvar intraepithelial neoplasia (VIN): A precancerous condition that can cause vulvar burning and irritation. It's less common but important to identify to prevent progression to invasive cancer.
- Paget's disease of the vulva: A rare form of vulvar cancer that can present with burning, itching, and a visible rash or lesion.
- Zinc deficiency: Although rare, a severe zinc deficiency can cause skin lesions and discomfort, including vulvar burning and irritation.