Vulvar Disease
Michael John Hughey
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Michael John Hughey, MD
Associate Clinical Professor, Department of Obstetrics and Gynecology, Northwestern University Medical School, Chicago, Illinois; Adjunct Associate Professor, Department of Obstetrics and Gynecology, Uniformed Services University of the Health Sciences, Bethesda, MD; Senior Attending Physician, Evanston Northwestern Healthcare, Evanston, IL.

 

Bartholin Cyst and Abscess
Carcinoma in situ
Chancroid
Clitoral Abscess
Condyloma
Granuloma Inguinale
Herpes
Hidradenoma
Hypertrophic Dystrophy
Inclusion Cyst
LGV
Lichen Sclerosis
Mixed Dystrophy		 Molluscom Contagiosum
Monilia
Melanosis
Pediatric Problems
Psoriasis
Pubic Lice
Skenitis
Syphilis
Tinea Cruris
Vestibulitis
VIN
Vulvar Cancer
Vulvar Hematoma

Bartholin Cyst and Abscess

Left Bartholin Cyst (Reproduced, with permission from Michael John Hughey, MD, All rights reserved.)


Left Bartholin Abscess (From Operational Obstetrics & Gynecology - 2nd Edition, The Health Care of Women in Military Settings, CAPT Michael John Hughey, MC, USNR, NAVMEDPUB 6300-2C, Bureau of Medicine and Surgery, Department of the Navy, 2300 E Street NW, Washington, D.C. 20372-5300, January 1, 2000. Original image courtesy CAPT Richard Stock, MC, USN)

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Carcinoma in situ

Fig. 4. Carcinoma in situ showing hyperkeratotic pigmented epithelial thickening.Volume 1, Chapter 9.


Carcinoma in Situ(From Operational Obstetrics & Gynecology - 2nd Edition, The Health Care of Women in Military Settings, CAPT Michael John Hughey, MC, USNR, NAVMEDPUB 6300-2C, Bureau of Medicine and Surgery, Department of the Navy, 2300 E Street NW, Washington, D.C. 20372-5300, January 1, 2000. Original image courtesy CAPT Richard Stock, MC, USN)

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Chancroid

Chancroid (From Operational Obstetrics & Gynecology - 2nd Edition, The Health Care of Women in Military Settings, CAPT Michael John Hughey, MC, USNR, NAVMEDPUB 6300-2C, Bureau of Medicine and Surgery, Department of the Navy, 2300 E Street NW, Washington, D.C. 20372-5300, January 1, 2000. Original image courtesy CAPT Richard Stock, MC, USN)


Chancroid of the penis (From Operational Obstetrics & Gynecology - 2nd Edition, The Health Care of Women in Military Settings, CAPT Michael John Hughey, MC, USNR, NAVMEDPUB 6300-2C, Bureau of Medicine and Surgery, Department of the Navy, 2300 E Street NW, Washington, D.C. 20372-5300, January 1, 2000. Original image courtesy CAPT Richard Stock, MC, USN)

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Clitoral Abscess

Periclitoral abscess before (left) and the next day after drainage (right) . (Reproduced, with permission from Michael John Hughey, MD, All rights reserved.)

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Condyloma

Condyloma after application of acetic acid (From Operational Obstetrics & Gynecology - 2nd Edition, The Health Care of Women in Military Settings, CAPT Michael John Hughey, MC, USNR, NAVMEDPUB 6300-2C, Bureau of Medicine and Surgery, Department of the Navy, 2300 E Street NW, Washington, D.C. 20372-5300, January 1, 2000. Original image courtesy CAPT Richard Stock, MC, USN)

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Granuloma Inguinale

Granuloma inguinale accompanied by perianal skin ulceration due to the bacterium Calymmatobacterium granulomatis. The ulcerations are for the most part painless, and granulomatous in nature, i.e. chronic inflammation. The C. granulomatis bacterium is a bipolar, Gram negative organism, previously name Donovania granulomatis. (Courtesy of the Center for Disease Control, Dr. Thomas F. Sellers, Emory University.)


This photomicrograph reveals "Donovan bodies" in a skin sample used to diagnose granuloma inguinale. Diagnosis of granuloma inguinale is based on the appearance of encapsulated bacilli called Donovan bodies. These are safety pin-shaped microorganisms that appear inside infected tissue cells under a microscope. (Courtesy of the Center for Disease Control, Susan Lindsley.)

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Herpes

Herpes Vulvitis (From Operational Obstetrics & Gynecology - 2nd Edition, The Health Care of Women in Military Settings, CAPT Michael John Hughey, MC, USNR, NAVMEDPUB 6300-2C, Bureau of Medicine and Surgery, Department of the Navy, 2300 E Street NW, Washington, D.C. 20372-5300, January 1, 2000. Original image courtesy CAPT Richard Stock, MC, USN)

8

Herpes in a victim of child sexual abuse (From Operational Obstetrics & Gynecology - 2nd Edition, The Health Care of Women in Military Settings, CAPT Michael John Hughey, MC, USNR, NAVMEDPUB 6300-2C, Bureau of Medicine and Surgery, Department of the Navy, 2300 E Street NW, Washington, D.C. 20372-5300, January 1, 2000. Original image courtesy CAPT Richard Stock, MC, USN)

8

Herpes Vulvitis (From Operational Obstetrics & Gynecology - 2nd Edition, The Health Care of Women in Military Settings, CAPT Michael John Hughey, MC, USNR, NAVMEDPUB 6300-2C, Bureau of Medicine and Surgery, Department of the Navy, 2300 E Street NW, Washington, D.C. 20372-5300, January 1, 2000. Original image courtesy Armed Forces Institute of Pathology)

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Hidradenoma

Fig. 6. Hidradenoma of the vulva. Volume 1, Chapter 9

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Hypertrophic Dystrophy

Hypertrophic Vulvar Dystrophy (From Operational Obstetrics & Gynecology - 2nd Edition, The Health Care of Women in Military Settings, CAPT Michael John Hughey, MC, USNR, NAVMEDPUB 6300-2C, Bureau of Medicine and Surgery, Department of the Navy, 2300 E Street NW, Washington, D.C. 20372-5300, January 1, 2000. Original image courtesy Michael John Hughey, MD. All rights reserved.)

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Inclusion Cyst

Inclusion Cyst (From Operational Obstetrics & Gynecology - 2nd Edition, The Health Care of Women in Military Settings, CAPT Michael John Hughey, MC, USNR, NAVMEDPUB 6300-2C, Bureau of Medicine and Surgery, Department of the Navy, 2300 E Street NW, Washington, D.C. 20372-5300, January 1, 2000. Original image courtesy CAPT Richard Stock, MC, USN)

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LGV

Lymphogranuloma Venereum (From Operational Obstetrics & Gynecology - 2nd Edition, The Health Care of Women in Military Settings, CAPT Michael John Hughey, MC, USNR, NAVMEDPUB 6300-2C, Bureau of Medicine and Surgery, Department of the Navy, 2300 E Street NW, Washington, D.C. 20372-5300, January 1, 2000.)


Lymphogranuloma Venereum (From Operational Obstetrics & Gynecology - 2nd Edition, The Health Care of Women in Military Settings, CAPT Michael John Hughey, MC, USNR, NAVMEDPUB 6300-2C, Bureau of Medicine and Surgery, Department of the Navy, 2300 E Street NW, Washington, D.C. 20372-5300, January 1, 2000. Original image courtesy Armed Forces Institute of Pathology)

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Lichen Sclerosis

Lichen Sclerosis (From Operational Obstetrics & Gynecology - 2nd Edition, The Health Care of Women in Military Settings, CAPT Michael John Hughey, MC, USNR, NAVMEDPUB 6300-2C, Bureau of Medicine and Surgery, Department of the Navy, 2300 E Street NW, Washington, D.C. 20372-5300, January 1, 2000. Original image courtesy of Michael John Hughey, MD, all rights reserved.)


Lichen Sclerosis (From Operational Obstetrics & Gynecology - 2nd Edition, The Health Care of Women in Military Settings, CAPT Michael John Hughey, MC, USNR, NAVMEDPUB 6300-2C, Bureau of Medicine and Surgery, Department of the Navy, 2300 E Street NW, Washington, D.C. 20372-5300, January 1, 2000. Original image courtesy of Michael John Hughey, MD, all rights reserved.)


Lichen Sclerosis (From Operational Obstetrics & Gynecology - 2nd Edition, The Health Care of Women in Military Settings, CAPT Michael John Hughey, MC, USNR, NAVMEDPUB 6300-2C, Bureau of Medicine and Surgery, Department of the Navy, 2300 E Street NW, Washington, D.C. 20372-5300, January 1, 2000. Original image courtesy of Armed Forces Institute of Pathology.)


Melanosis

Melanosis (From Operational Obstetrics & Gynecology - 2nd Edition, The Health Care of Women in Military Settings, CAPT Michael John Hughey, MC, USNR, NAVMEDPUB 6300-2C, Bureau of Medicine and Surgery, Department of the Navy, 2300 E Street NW, Washington, D.C. 20372-5300, January 1, 2000. Original image courtesy of Michael John Hughey, MD, all rights reserved.)

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Mixed Dystrophy

Mixed Vulvar Dystrophy (From Operational Obstetrics & Gynecology - 2nd Edition, The Health Care of Women in Military Settings, CAPT Michael John Hughey, MC, USNR, NAVMEDPUB 6300-2C, Bureau of Medicine and Surgery, Department of the Navy, 2300 E Street NW, Washington, D.C. 20372-5300, January 1, 2000. Original image courtesy of Michael John Hughey, MD, all rights reserved.)

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Molluscom Contagiosum

Molluscom Contagiosum (From Operational Obstetrics & Gynecology - 2nd Edition, The Health Care of Women in Military Settings, CAPT Michael John Hughey, MC, USNR, NAVMEDPUB 6300-2C, Bureau of Medicine and Surgery, Department of the Navy, 2300 E Street NW, Washington, D.C. 20372-5300, January 1, 2000. Original image courtesy of Michael John Hughey, MD, all rights reserved.)


Molluscom Contagiosum (From Operational Obstetrics & Gynecology - 2nd Edition, The Health Care of Women in Military Settings, CAPT Michael John Hughey, MC, USNR, NAVMEDPUB 6300-2C, Bureau of Medicine and Surgery, Department of the Navy, 2300 E Street NW, Washington, D.C. 20372-5300, January 1, 2000. Original image courtesy of Michael John Hughey, MD, all rights reserved.)

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Monilia

Monilia (From Operational Obstetrics & Gynecology - 2nd Edition, The Health Care of Women in Military Settings, CAPT Michael John Hughey, MC, USNR, NAVMEDPUB 6300-2C, Bureau of Medicine and Surgery, Department of the Navy, 2300 E Street NW, Washington, D.C. 20372-5300, January 1, 2000. Original image courtesy of Michael John Hughey, MD, all rights reserved.)

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Pediatric Problems

Fig. 9. Labial agglutination. Volume 1, Chapter 19


Fig. 12. A. Lichen sclerosus, mild atrophy with thin, pale skin. B. Lichen sclerosus, severe with hemorrhage and mild scarring. Volume 1, Chapter 19


Fig. 13. Imperforate hymen in prepubertal girl.Volume 1, Chapter 19

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Psoriasis

Psoriasis of the vulva (Courtesy of Michael John Hughey, MD, all rights reserved.)

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Pubic Lice

Crab Louse (From Operational Obstetrics & Gynecology - 2nd Edition, The Health Care of Women in Military Settings, CAPT Michael John Hughey, MC, USNR, NAVMEDPUB 6300-2C, Bureau of Medicine and Surgery, Department of the Navy, 2300 E Street NW, Washington, D.C. 20372-5300, January 1, 2000. Original image courtesy CAPT Richard Stock, MC, USN)

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Skenitis

Skene Abscess (From Operational Obstetrics & Gynecology - 2nd Edition, The Health Care of Women in Military Settings, CAPT Michael John Hughey, MC, USNR, NAVMEDPUB 6300-2C, Bureau of Medicine and Surgery, Department of the Navy, 2300 E Street NW, Washington, D.C. 20372-5300, January 1, 2000. Original image courtesy Armed Forces Institute of Pathology)

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Syphilis

Primary Syphilis (From Operational Obstetrics & Gynecology - 2nd Edition, The Health Care of Women in Military Settings, CAPT Michael John Hughey, MC, USNR, NAVMEDPUB 6300-2C, Bureau of Medicine and Surgery, Department of the Navy, 2300 E Street NW, Washington, D.C. 20372-5300, January 1, 2000. Original image courtesy CAPT Richard Stock, MC, USN)


Secondary Syphilis (Condyloma Lata)(From Operational Obstetrics & Gynecology - 2nd Edition, The Health Care of Women in Military Settings, CAPT Michael John Hughey, MC, USNR, NAVMEDPUB 6300-2C, Bureau of Medicine and Surgery, Department of the Navy, 2300 E Street NW, Washington, D.C. 20372-5300, January 1, 2000. Original image courtesy CAPT Richard Stock, MC, USN)


Secondary Syphilis (Condyloma Lata) (From Operational Obstetrics & Gynecology - 2nd Edition, The Health Care of Women in Military Settings, CAPT Michael John Hughey, MC, USNR, NAVMEDPUB 6300-2C, Bureau of Medicine and Surgery, Department of the Navy, 2300 E Street NW, Washington, D.C. 20372-5300, January 1, 2000. Original image courtesy CAPT Richard Stock, MC, USN)


Fig. 3. Treponema pallidum on darkfield microscope.Volume 1, Chapter 45


Fig. 5. Primary syphilis—vaginal chancre.Volume 1, Chapter 45


Fig. 6. Primary syphilis—labial chancre.Volume 1, Chapter 45


Fig. 8. Secondary syphilis—papulosquamous rash.Volume 1, Chapter 45


Fig. 9. Secondary syphilis—rash on palms of hands.Volume 1, Chapter 45


Fig. 10. Secondary syphilis—condyloma lata.Volume 1, Chapter 45


Fig. 11. Tertiary syphilis—ulcerating gumma.Volume 1, Chapter 45

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Tinea Cruris

Tinea Cruris (From Operational Obstetrics & Gynecology - 2nd Edition, The Health Care of Women in Military Settings, CAPT Michael John Hughey, MC, USNR, NAVMEDPUB 6300-2C, Bureau of Medicine and Surgery, Department of the Navy, 2300 E Street NW, Washington, D.C. 20372-5300, January 1, 2000. Original image courtesy Michael John Hughey, MD. All rights reserved.)

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Vestibulitis

Vulvar Vestibulitis (From Operational Obstetrics & Gynecology - 2nd Edition, The Health Care of Women in Military Settings, CAPT Michael John Hughey, MC, USNR, NAVMEDPUB 6300-2C, Bureau of Medicine and Surgery, Department of the Navy, 2300 E Street NW, Washington, D.C. 20372-5300, January 1, 2000. Original image courtesy of Michael John Hughey, MD, all rights reserved.)

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VIN

Vulvar Intraepithelial Neoplasia (VIN 3) (From Operational Obstetrics & Gynecology - 2nd Edition, The Health Care of Women in Military Settings, CAPT Michael John Hughey, MC, USNR, NAVMEDPUB 6300-2C, Bureau of Medicine and Surgery, Department of the Navy, 2300 E Street NW, Washington, D.C. 20372-5300, January 1, 2000. Original image courtesy CAPT Richard Stock, MC, USN)

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Vulvar Cancer

Squamous cell carcinoma of the vulva (From Operational Obstetrics & Gynecology - 2nd Edition, The Health Care of Women in Military Settings, CAPT Michael John Hughey, MC, USNR, NAVMEDPUB 6300-2C, Bureau of Medicine and Surgery, Department of the Navy, 2300 E Street NW, Washington, D.C. 20372-5300, January 1, 2000. Original image courtesy CAPT Richard Stock, MC, USN)

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Vulvar Hematoma

Vulvar Hematoma (From Operational Obstetrics & Gynecology - 2nd Edition, The Health Care of Women in Military Settings, CAPT Michael John Hughey, MC, USNR, NAVMEDPUB 6300-2C, Bureau of Medicine and Surgery, Department of the Navy, 2300 E Street NW, Washington, D.C. 20372-5300, January 1, 2000. Original image courtesy CAPT Richard Stock, MC, USN)

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