Vulvodynia and HIV: causal or casual association?

R Raiteri, A Sinicco, M Pippione, C Tomasini, C Solaroli, L Vitale, L Morticelli, P Gioannini
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引用次数: 5

Abstract

Background: No study exists on HIV and vulvodynia.

Objective: To evaluate vulvodynia in HIV infected women and its possible association with HIV.

Design: Cross sectional study.

Setting: Department of Medical and Surgical Sciences, Section of Infectious Diseases, University of Turin.

Methods: 235 HIV positive and 272 HIV negative women were studied for vulvar pain between June 1995 and January 1997. Diagnosis of vulvodynia was based on clinical history, dermatological and vulvovaginal examination, and bacteriology. Colposcopy and vulvar biopsy were performed and psychometric examination was done.

Results: Vulvodynia was diagnosed in five women with HIV and in one uninfected woman (odds ratio = 2.5; 95% confidence interval: 0.1-62.6). High neuroticism scores were observed in women with history of vulvar pain, the highest in HIV infected vulvodynia patients (p = 0.000).

Conclusions: Confirming the association of gynaecological pain with neurotic personality, our study suggests causal link between HIV and vulvodynia.

外阴痛与HIV:因果关系还是偶然关系?
背景:目前尚无HIV与外阴痛的相关研究。目的:探讨HIV感染妇女外阴痛及其与HIV的关系。设计:横断面研究。单位:都灵大学医学和外科科学系,传染病科。方法:1995年6月~ 1997年1月,对235例HIV阳性妇女和272例HIV阴性妇女进行外阴疼痛调查。外阴痛的诊断基于临床病史、皮肤病学和外阴阴道检查以及细菌学。行阴道镜、外阴活检及心理测量检查。结果:外阴痛在5名感染HIV的妇女和1名未感染的妇女中被诊断出来(优势比= 2.5;95%置信区间:0.1-62.6)。有外阴疼痛史的女性神经质得分较高,其中HIV感染的外阴痛患者神经质得分最高(p = 0.000)。结论:我们的研究证实了妇科疼痛与神经质人格的关联,表明HIV与外阴痛之间存在因果关系。
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