Letters

Vulvovaginal candidiasis

BMJ 1994; 309 doi: http://dx.doi.org/10.1136/bmj.309.6952.475 (Published 13 August 1994) Cite this as: BMJ 1994;309:475
  1. C M Bates
  1. Department of Genitourinary Medicine, Royal Liverpool University Hospital, Liverpool L7 8XP
  2. Physiology Program, Harvard School of Public Health, Boston MA 02115, USA Royal Children's Hospital, Melbourne, Australia.

    EDITOR, - Susan M Sawyer and colleagues state that they report the rate of vulvovaginal candidiasis in young women with cystic fibrosis.1 This, however, is not justified by the evidence presented; rather, what they report is the rate of genital symptoms.

    The authors do not state whether an affirmative answer given to the question “Have you had thrush infections (candida infection)?” meant that a microbiological diagnosis had been made or that certain symptoms had been experienced by the patient. If it meant that certain symptoms had been experienced, what were they? Self diagnosis of vaginal thrush is unsatisfactory as this term …

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