Papular Colpitis: A Distinct Clinical Entity? Symptoms, Signs, Histopathological Diagnosis, and Treatment in a Series of Patients Seen at the Rotterdam Vulvar Clinic

WI van der Meijden, PC Ewing

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Abstract

Objective. To study demographic, clinical, and histopathological data as well as treatment outcome in women with papular colpitis. Materials and Methods. Data of women (n = 18) visiting the Rotterdam vulvar clinic and meeting the diagnostic criteria for papular colpitis were retrospectively analyzed using patient records. Results. Papular colpitis is usually seen in perimeno-pausal women and is frequently associated with copious, nonoffensive vaginal discharge and dyspareunia. Histopathological diagnosis consistently shows dense lymphocytic infiltrates. In approximately half of the women, the vulva shows Zoon-like abnormalities. Treatment with topically applied 10% hydrocortisone acetate seemed to be moderately effective. Conclusions. Papular colpitis seems to be a distinct, relatively rare and possibly autoimmune-related condition. Treatment with 10% hydrocortisone acetate may have a dramatic effect, but recurrences are common and long-term follow-up is warranted.
Original languageUndefined/Unknown
Pages (from-to)60-65
Number of pages6
JournalJournal of Lower Genital Tract Disease
Volume15
Issue number1
DOIs
Publication statusPublished - 2011

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