{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,7]],"date-time":"2026-02-07T07:44:01Z","timestamp":1770450241924,"version":"3.49.0"},"reference-count":13,"publisher":"Oxford University Press (OUP)","issue":"3","license":[{"start":{"date-parts":[[2023,1,4]],"date-time":"2023-01-04T00:00:00Z","timestamp":1672790400000},"content-version":"vor","delay-in-days":2077,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2017,4,28]],"date-time":"2017-04-28T00:00:00Z","timestamp":1493337600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2017,4,4]],"date-time":"2017-04-04T00:00:00Z","timestamp":1491264000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["smoa.jsexmed.org","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2017,9,1]]},"abstract":"<jats:sec>\n                  <jats:title>Abstract<\/jats:title>\n                  <jats:p>Desquamative inflammatory vaginitis is a poorly understood chronic vaginitis with an unknown etiology. Symptoms of desquamative inflammatory vaginitis include copious yellowish discharge, vulvovaginal discomfort, and dyspareunia. Cervical ectropion, the presence of glandular columnar cells on the ectocervix, has not been reported as a cause of desquamative inflammatory vaginitis. Although cervical ectropion can be a normal clinical finding, it has been reported to cause leukorrhea, metrorrhagia, dyspareunia, and vulvovaginal irritation. Patients with cervical ectropion and desquamative inflammatory vaginitis are frequently misdiagnosed with candidiasis or bacterial vaginosis and repeatedly treated without resolution of symptoms. We report the case of a 34-year-old woman with a 4-year history of profuse yellowish discharge and dyspareunia. Upon presentation, her symptoms and laboratory results met the criteria for desquamative inflammatory vaginitis, but the standard treatments did not provide long-lasting relief. As a last resort, cryotherapy (cryosurgery) of her cervix was performed for treatment of her cervical ectropion, which provided complete resolution of her symptoms.<\/jats:p>\n                  <jats:p>Mitchell L, King M, Brillhart H, Goldstein A. Cervical Ectropion May Be a Cause of Desquamative Inflammatory Vaginitis. Sex Med 2017;5:e212\u2013e214.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1016\/j.esxm.2017.03.001","type":"journal-article","created":{"date-parts":[[2017,4,28]],"date-time":"2017-04-28T23:46:17Z","timestamp":1493423177000},"page":"e212-e214","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":12,"title":["Cervical Ectropion May Be a Cause of Desquamative Inflammatory Vaginitis"],"prefix":"10.1093","volume":"5","author":[{"given":"Leia","family":"Mitchell","sequence":"first","affiliation":[{"name":"The Centers for Vulvovaginal Disorders , Washington, DC, and New York, NY, \u00a0 USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michelle","family":"King","sequence":"additional","affiliation":[{"name":"The Centers for Vulvovaginal Disorders , Washington, DC, and New York, NY, \u00a0 USA"},{"name":"Nova Southeastern University College of Osteopathic Medicine , Fort Lauderdale, FL, \u00a0 USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Heather","family":"Brillhart","sequence":"additional","affiliation":[{"name":"George Washington University School of Medicine and Health Sciences , Washington, DC, \u00a0 USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrew","family":"Goldstein","sequence":"additional","affiliation":[{"name":"The Centers for Vulvovaginal Disorders , Washington, DC, and New York, NY, \u00a0 USA"},{"name":"George Washington University School of Medicine and Health Sciences , Washington, DC, \u00a0 USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2017,4,28]]},"reference":[{"key":"2023011909330966100_bib1","doi-asserted-by":"crossref","first-page":"1042","DOI":"10.1016\/j.bpobgyn.2014.07.003","article-title":"Desquamative inflammatory vaginitis","volume":"28","author":"Reichman","year":"2014","journal-title":"Best Pract Res Clin Obstet Gynaecol"},{"key":"2023011909330966100_bib2","doi-asserted-by":"crossref","first-page":"1215","DOI":"10.1016\/0002-9378(94)90135-X","article-title":"Desquamative inflammatory vaginitis: a new subgroup of purulent vaginitis responsive to topical 2% clindamycin therapy","volume":"171","author":"Sobel","year":"1994","journal-title":"Am J Obstet Gynecol"},{"key":"2023011909330966100_bib3","doi-asserted-by":"crossref","first-page":"34","DOI":"10.1111\/j.1471-0528.2002.00432.x","article-title":"Definition of a type of abnormal vaginal flora that is distinct from bacterial vaginosis: aerobic vaginitis","volume":"109","author":"Donders","year":"2002","journal-title":"BJOG"},{"key":"2023011909330966100_bib4","doi-asserted-by":"crossref","first-page":"60","DOI":"10.1097\/LGT.0b013e3181dc2f6a","article-title":"Papular colpitis: a distinct clinical entity? 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Published by Elsevier Inc. on behalf of the International Society for Sexual Medicine.","name":"copyright","label":"Copyright"}]}}