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Visual Treats in Dermatology
2022
:2;
94
doi:
10.25259/CSDM_105_2022

Isolated massive vulval edema

Department of Dermatology and STD, Jawaharlal Institute of Postgraduate Medical Education and Research, Gorimedu, Puducherry, India
Corresponding author: Arunachalam Narayanan, Department of Dermatology and STD, Jawaharlal Institute of Postgraduate Medical Education and Research, Gorimedu, Puducherry, India. narayanan359@gmail.com
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This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-Share Alike 4.0 License, which allows others to remix, transform, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.

How to cite this article: Narayanan A. Isolated massive vulval edema. CosmoDerma 2022;2:94.

A 22-year-old primigravida woman presented in her 9th month (third trimester) of pregnancy with massive edema of the labia minora and labia majora [Figure 1], without any pain or tenderness, for 5 days. The patient had severe anemia, which had resulted in congestive cardiac failure. We made a diagnosis of vulval edema secondary to congestive cardiac failure. Vulval edema occurs in patients with severe anemia complicated by cardiac failure. Hypoalbuminemia can result in decreased oncotic pressure and increased capillary permeability.[1] Other causes of vulval edema in pregnancy include hypertension, hepatic abnormality, renal abnormality, sepsis, trauma, multiple pregnancy, and obstructed labor. It may progress if physicians do not identify the underlying cause and treat them.

Figure 1:: Massive edema of the labia majora and minora.

Declaration of patient consent

Patient’s consent not required as patient’s identity is not disclosed or compromised.

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.

References

  1. , , , , , . Giant vulva oedema in pregnancy precipitated by anaemic heart failure: A case report. Orient J Med. 2014;26:58-61.
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