Squamous epithelial cells

Why do pregnant women have higher levels of squamous epithelial cells? Squamous epithelial hyperplasia is a private disease with vulvar itching as clinical symptoms. Vulvar itching of unknown causes can also cause squamous epithelial hyperplasia after long-term scratching and friction. In clinical medicine, it is also called diffuse simple lichen planus or psychogenic inflammation. Although other diseases such as trichomoniasis and vaginal vaginitis can cause secondary squamous epithelial hyperplasia in the private parts, their causes are definite and they can heal quickly after treatment of their primary diseases, so they are not included in this disease category.

Key points for diagnosis of high squamous epithelial cell count in pregnant women

1. Medical records. There are medical histories of personality depression, or cold and damp living, or excessive loose stools, or various types of trichomoniasis vaginitis.

2. Diseases and clinical symptoms. It can occur at any age, most often in middle-aged women before the age of 50, but can also occur in old age. The clinical symptoms are itching, which is often intense and unbearable.

Repeated scratching causes increasing skin damage and more severe itching. The lesions vary in scope, mainly invading the labia majora, intervulvar groove, clitoral foreskin, posterior vulvar joint, etc., and are often symmetrical. When the disease is mild in the early stages, the skin is dark red or grayish white, and areas with excessive keratinization appear milky white. Due to long-term scratching and friction, the skin becomes thicker like leather, the pigmentation increases, the skin lines become more prominent, the skin ridges are raised, and most of the small polygonal flat papules appear and cluster together, showing lichenification. In severe cases, scratching may cause skin damage, cracks, and ulcers. If the ulcer is difficult to heal for a long time, especially when there is a lump, you should be alert to the possibility of local lesions. There is generally no shrinkage or adhesion.

3. Pathological puncture biopsy. Pathological biopsy is the only way to diagnose. Generally, 1% lidocaine should be used; under local anesthesia, select different lesion sites with erosion, ulcer, lump, protrusion, etc. for more puncture biopsy. The diagnosis of squamous epithelial hyperplasia, in addition to the patient's medical history, concomitant symptoms, tongue and pulse, needs to integrate some clinical symptoms to distinguish between the real and the false.