Subacute and chronic vulvitis
ICD-10 N76.3 is a billable code used to indicate a diagnosis of subacute and chronic vulvitis.
Subacute and chronic vulvitis refers to the inflammation of the vulva that persists beyond the acute phase, often characterized by symptoms such as itching, burning, and discomfort. This condition can arise from various etiologies, including infections (such as bacterial vaginosis, candidiasis, or sexually transmitted infections), irritants (like soaps, detergents, or hygiene products), and dermatological conditions (such as lichen sclerosus or psoriasis). Bartholin's gland disorders, which can lead to cysts or abscesses, may also contribute to vulvitis. The inflammation can be exacerbated by vulvovaginitis, which involves inflammation of both the vulva and vagina, leading to a more complex clinical picture. Diagnosis typically involves a thorough history, physical examination, and possibly laboratory tests to identify underlying causes. Treatment may include topical corticosteroids, antifungal or antibacterial medications, and avoidance of irritants. Chronic cases may require more extensive management, including addressing any underlying conditions or lifestyle factors.
Detailed history of symptoms, physical examination findings, and treatment plans.
Patients presenting with chronic vulvar itching, burning, or discomfort, often with a history of recurrent infections.
Consideration of co-existing conditions such as Bartholin's gland cysts or abscesses, and the need for potential surgical intervention.
Thorough dermatological assessment, including skin findings and response to treatments.
Patients with vulvar dermatitis or skin conditions affecting the vulva, requiring differentiation from infectious causes.
Documentation of any biopsies or dermatological treatments applied to the vulvar area.
Used for follow-up visits for chronic vulvitis management.
Document the patient's history, examination findings, and treatment plan.
Gynecologists should ensure that all relevant symptoms and treatments are documented.
Common causes include infections (bacterial, fungal), irritants (soaps, hygiene products), and dermatological conditions (lichen sclerosus, psoriasis).
Diagnosis typically involves a detailed patient history, physical examination, and possibly laboratory tests to identify any underlying infections or conditions.
