Vulval edema in pregnancy

Bilgin, �lg�l Zeren; Karaman, Ahmet; Do�u, �zlem

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Vulval edema in pregnancy [Turkderm-Turk Arch Dermatol Venereol]

Turkderm-Turk Arch Dermatol Venereol. 2003; 37(4): 282-284

Vulval edema in pregnancy

�lg�l Zeren Bilgin¹, Ahmet Karaman¹, �zlem Do�u¹

Background: Pregnancy is a physiological condition that affects almost all organs including skin. Reports concerning dermatological problems during pregnancy and their medical management are extremely rare. Vulval edema during pregnancy is an uncommon skin finding which can be a sign of allergic, inflammatory, neurological or traumatic factors that affects vascular and/or lymphatic systems. We report a 20-year-old woman, 32-week pregnant, who gave a 2- week history of painful swelling at her labia majora. She had no response to various medications (oral antihistaminics, topical dermatological solutions, etc). Her dermatological examination revealed skin colored, severe vulval swelling which was nonpitting and tense, so making it impossible for her to have a vaginal delivery. No allergic, inflammatory, neoplastic, neurological and traumatic factor was implicated either by history or by laboratory investigations. Her labial swelling became more pronounced and painful during two weeks of our hospitalization period. We decided to drain excessive fluid accumulation and relieve the pain by using sterile injection needles at the vulval area. With this method, vulval edema regressed dramatically and did not occurred again during the following days until delivery.

Keywords: Pregnancy, vulval edema

Gebelikte vulva �demi

�lg�l Zeren Bilgin¹, Ahmet Karaman¹, �zlem Do�u¹
�zmir Atat�rk E�itim ve Ara�t�rma Hastanesi Deri ve Z�hrevi Hastal�klar Klini�i

Gebelik, deri dahil t�m organlar� etkileyen fizyolojik bir durumdur. Gebelikteki dermatolojik problemler ve tedaviler ile ilgili bildiriler ise say�ca azd�r. Gebelikte g�r�len vulva �demi, ender g�r�len bir deri bulgusu olup, vask�ler ve/veya lenfatik sistemi etkileyen allerjik, inflamatuar, n�rolojik veya travmatik etkenlerin sonucunda olu�abilir. 20 ya��nda, 32 haftal�k gebeli�i olan ve labia majorlar�nda iki hafta �nce ba�layan a�r�l� �i�lik nedeniyle ba�vuran bir olgu sunuyoruz. Oral antihistaminiklere ve �e�itli topikal dermatolojik solusyonlara yan�t alamad��n� belirten hastan�n dermatolojik muayenesinde; vajinal do�um yapmas�n� engelleyecek boyutta yayg�n, basmakla gode b�rakmayan, gergin, deri renginde vulva �demi saptand�. Anamnez ve laboratuar ara�t�rmalar� ile herhangi bir allerjik, inflamatuar, neoplastik, n�rolojik ve travmatik fakt�r bulunamad�. Hastanede kald�� iki haftal�k d�nemde labial �i�lik ve a�r� giderek artt�. A�r�y� gidermek ve a��r� s�v� birikimini drene etmek i�in vulva b�lgesine steril enjekt�r u�lar� yerle�tirildi. Bu y�ntemle, vulva �demi dramatik bir bi�imde geriledi ve hasta do�um yap�ncaya kadar tekrar olu�mad�.

Anahtar Kelimeler: Gebelik, vulva �demi

�lg�l Zeren Bilgin, Ahmet Karaman, �zlem Do�u. Vulval edema in pregnancy. Turkderm-Turk Arch Dermatol Venereol. 2003; 37(4): 282-284

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