DAFTAR ISI

BAB I PENDAHULUAN ................................................................................... 1

BAB II KAJIAN PUSTAKA .............................................................................. 3

2.1 Sistem Reproduksi Wanita ......................................................................... 2

2.2 Penyakit genitalia wanita yang bukan disebabkan IMS ........................... 5

2.2.1 Reactive Nonsexually Related Acute Genital Ulceration .................. 5

2.2.1.1 Etiologi ...................................................................................... 5

2.2.1.2 Manifestasi Klinis ..................................................................... 7

2.2.1.3 Diagnosis .................................................................................... 7

2.2.1.4 Penatalaksanaan ....................................................................... 8

2.2.2 Tuberkulosis vulvovaginal ................................................................ 9

2.2.2.1 Etiologi ....................................................................................... 9

2.2.2.2 Manifestasi Klinis ...................................................................... 9

2.2.2.3 Diagnosis ..................................................................................... 10

2.2.2.4 Penatalaksanaan ....................................................................... 11

2.2.3 Penyakit Crohn’s pada vulva ............................................................ 11

2.2.3.1 Etiologi ........................................................................................ 11

2.2.3.2 Manifestasi Klinis........................................................................ 12

2.2.3.3 Diagnosis ...................................................................................... 13

2.2.3.4 Penatalaksanaan ......................................................................... 13

2.2.4 Penyakit Behcet’s ................................................................................ 15

2.2.4.1 Etiologi ........................................................................................ 15

2.2.4.2 Manifestasi Klinis........................................................................ 16

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 2.2.4.3 Diagnosis ...................................................................................... 18

2.2.4.4 Penatalaksanaan ......................................................................... 18

2.2.5 Zoster pada vulva ............................................................................... 20

2.2.5.1 Etiologi ........................................................................................ 20

2.2.5.2 Manifestasi Klinis........................................................................ 20

2.2.5.3 Diagnosis ...................................................................................... 21

2.2.5.4 Penatalaksanaan ......................................................................... 21

2.2.6 Genitourinary syndrome of menopause ............................................. 22

2.2.6.1 Etiologi ........................................................................................ 22

2.2.6.2 Manifestasi Klinis dan diagnosis ............................................... 23

2.2.6.3 Penatalaksanaan ......................................................................... 24

2.2.7 Vaginosis Bakterial ............................................................................. 24

2.2.7.1 Etiologi ......................................................................................... 24

2.2.7.2 Manifestasi Klinis........................................................................ 26

2.2.7.3 Diagnosis ...................................................................................... 27

2.2.7.4 Penatalaksanaan ......................................................................... 29

2.2.8 Kandidiasis Vulvovaginal ................................................................. 29

2.2.8.1 Etiologi ........................................................................................ 29

2.2.8.2 Manifestasi Klinis dan diagnosis ............................................... 30

2.2.8.3 Penatalaksanaan ......................................................................... 31

2.3 Penyakit vulva lainnya ................................................................................ 31

BAB III RINGKASAN ....................................................................................... 34

DAFTAR PUSTAKA .......................................................................................... 35

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 DAFTAR GAMBAR

Gambar 1. Anatomi Genitalia Eksterna Wanita ................................................... 3

Gambar 2. Anatomi Genitalia Interna Wanita ...................................................... 5

Gambar 3a. Kissing ulcer ..................................................................................... 8

Gambar 3b. Reactive Nonsexually Related Acute Genital Ulcer .......................... 8

Gambar 3c. Lipschutz ulcer ................................................................................. 8

Gambar 3d. Lipschutz ulcer ................................................................................. 8

Gambar 3e. Ulkus multipel pada vulva……….....………………………………...8

Gambar 3f. Ulkus dengan pseudomembran putih tebal ....................................... 8

Gambar 4a. Gambaran makros spesimen vulvectomy .......................................... 11

Gambar 4b. Pengecatan Hematoxyline Eosin tuberculosis vulva ......................... 11

Gambar 5a. Ulkus superfisial ................................................................................ 13

Gambar 5b. Exophytic hypertrophic lesion .......................................................... 13

Gambar 5c. Linear knife like ulcer ...................................................................... 13

Gambar 5d. Hipertrofik dan asimetris labia mayor ............................................. 13

Gambar 5e. Abses labia mayor dengan discharge kekuningan ........................... 13

Gambar 6. Pengecatan Hematoxyline Eosin penyakit Crohn’s vulva .................. 14

Gambar 7a. Ulkus aphtous soliter......................................................................... 19

Gambar 7b. Ulkus aphtous multipel ..................................................................... 19

Gambar 7c. Ulkus genital pada penyakit Behcet’s .............................................. 19

Gambar 7d. Ulkus genital yang sembuh dan membentuk jaringan parut ............ 19

Gambar 7e. Lesi eritema nodusum ...................................................................... 19

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Gambar 7f. Pathergi test positif ........................................................................... 19

Gambar 8a. Herpes zoster pada vulva ................................................................. 20

Gambar 8b. Lesi Herpes zoster pada vulva kiri ................................................... 21

Gambar 9a. Atrofi vulva pada menopause ........................................................... 23

Gambar 9b. Pemeriksaan sediaan basah dengan normal saline ............................ 23

Gambar 10a. Duh tubuh vagina putih homogen pada wanita BV ....................... 28

Gambar 10b. Clue cell pada BV .......................................................................... 28

Gambar 11a. Cottage cheese like pada KVV....................................................... 31

Gambar 11b. Pembengkakan labia dan vulva pada KVV..................................... 31

Gambar 12a. Likenifikasi labia mayor, erosi, fisura perianal ............................... 33

Gambar 12b. Makula dan patch hiperpigmentasi pada VIN................................. 33

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 DAFTAR TABEL

Tabel 1. Kriteria Amsel untuk diagnosis BV ........................................................ 28

Tabel 2. Klasifikasi kriteria BV menurut skor Nugent ......................................... 28