What does vulvar moss look like?

Vulvar tinea is a skin disease caused by a fungal infection. It can easily lead to local skin redness, swelling and itching. It can also easily cause symptoms of dandruff and peeling of the local skin, which is very uncomfortable and can easily affect the patient's normal life. It requires timely medication treatment and can be treated with topical ointments.

What does vulvar ringworm look like?

Vulvar eczema is often a erythematous rash caused by fungal infection, with symptoms of peeling and itching. It is recommended to go to the local hospital for treatment as soon as possible after discovery, and get appropriate medicines and ointments for combined treatment according to the doctor's advice. It is best to shave your pubic hair during treatment, as this will make it easier to apply medicine. The affected area should be cleaned every time you apply medicine.

Causes

The cause of the disease is still unclear, and it may be related to genetic diseases, autoimmune diseases, sex hormone deficiency, infectious factors, neurovascular nutritional disorders and other factors.

Clinical manifestations

The clinical symptoms are vulvar itching, dyspareunia, and a burning sensation or pain when fissures occur, due to cracks in the perineal skin during cycling, defecation, or sexual intercourse. Its typical characteristics are atrophy of the vulva, smaller or even disappearance of the labia minora, and adhesion to the clitoris. The labia majora become thinner, the clitoris atrophies and its foreskin is too long; the skin becomes white, shiny, wrinkled, and has poor elasticity, often accompanied by cracking and peeling. The lesions are symmetrical and may involve the perineum and perianal area, presenting a butterfly shape. In the early stage, the lesions are mild, with redness and swelling of the skin, and the appearance of pink or ivory white papules, which merge into patches and become purpuric; the lesions further develop into typical clinical manifestations; in the late stage, the skin becomes thin and wrinkled like cigarette paper or parchment, with subcutaneous bleeding that is symmetrically distributed, and the vaginal opening becomes contracted and narrow. In severe cases, urination becomes difficult and urine soaks into the thin skin of the vulva, causing erosion and stinging. Lichen sclerosus rarely progresses to invasive carcinoma, but lichen sclerosus may be present around invasive carcinoma.

The itching symptoms in young girls are not obvious, but they may feel discomfort in the vulva or perianal area after defecation or urination. The sclerosis and atrophy of young girls and some adult women are manifested by clitoral swelling, absence of labia minora, white patches on the posterior union of the labia majora, and the skin of the labia majora retaining a certain degree of elasticity. The hyperkeratosis of lesions in young girls is not as obvious as that in adults. Examination shows that the local skin is pearly yellow or mottled with pigmentation spots. If it is a lesion of the vulva and perianal area, it may appear as a keyhole shape or white lesions. In most children, the lesions may disappear on their own during puberty.

examine

1. Microscopic examination of secretions.

2. Biopsy and pathological examination.

diagnosis

The diagnosis can be made based on the patient's vulvar itching and typical sites of disease occurrence, clinical manifestations, local depigmentation and white patches, and pathological findings of hyperkeratosis, atrophy of the spinous cell layer, dermal edema and collagen fiber degeneration.

treat

1. General treatment

Keep the vulva clean and dry, do not use irritating drugs or soaps to clean the vulva, avoid wearing synthetic underwear, and do not eat spicy or allergenic foods. For patients with severe itching symptoms leading to insomnia, sedatives, sleeping pills and anti-allergic drugs can be added.

2. Local drug treatment

The main symptom of this disease is severe itching, and the treatment with glucocorticoids has a definite effect. Commonly used: 1% to 2% hydrocortisone ointment or 0.025% fluocinolone ointment, 3 to 4 times a day. Six weeks after medication, the skin lesions will return to normal. Topical application of testosterone propionate is the standard method for treating lichen sclerosus. The efficacy varies from person to person. Some atrophic skin can return to normal, some lesions can improve, and some have no obvious effect.