Vulvovaginitis diabetica - Altmeyers Encyclopedia

Definition
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Chronic, very itchy vulvovaginitis in diabetics, often due to candidosis.

Clinical features
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Inflammatory swollen, lichenified, dark red to blue-red discoloured vulva, often complicated by bacterial infections such as folliculitis and boils.

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Dermatology

Antimycotics

Medicinal products which have either a fungistatic or fungicidal action. See Table 1 for the classification.

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General therapy
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Cessation of diabetes, cooperation with the internist, treatment of candidosis or bacterial infection (see there). No blind antifungal or antibiotic local therapy - always take a culture or smear before therapy.

External therapy
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Act cautiously with ointments or creams in local therapy. It is better to use dehydrating external agents such as Lotio alba or antiseptic solutions such as potassium permanganate (light pink).