White pimples on vulva

The occurrence of white pimples on the vulva will make female friends very worried. It is mainly a disease occurring in the genital area and may be related to sexually transmitted diseases, so it will be taken seriously. In fact, white pimples on the vulva are most likely caused by vulvar folliculitis. We can first understand this disease and make a comprehensive judgment based on our own situation. Next, let’s take a look at vulvar folliculitis.

Causes

Vulvar folliculitis is an inflammation caused by nonspecific purulent bacteria invading the hair follicles of the vulva. Scratching, friction, high temperature, humidity and sweating are the triggering factors of this disease.

Clinical manifestations

The skin around the hair follicles of the vulva becomes red, swollen and painful, gradually forming a cone-shaped pustule with a pubic hair protruding from its center. Pustules may be multiple, and adjacent small pustules may fuse together to form large pustules, accompanied by severe congestion, edema and pain in the vulva.

Routine blood examination shows that white blood cell count and neutrophil count may be elevated. The pus from the follicular pustule can be used for bacterial culture and drug sensitivity testing.

diagnosis

The diagnosis can be made based on clinical manifestations, physical signs, and the relationship of the lesions to the hair follicles. That is, superficial pustules centered on the pubic hair, with mild inflammation and shallow infiltration. Those who have recurrent symptoms should be careful to check whether they also have diabetes.

1. Eliminate the cause and keep the vulva clean and dry as much as possible. Avoid irritation and squeezing.

2. In the early stage of the disease, you can use 0.02% potassium permanganate warm water sitz bath, twice a day.

3. If multiple small pustules are formed or merge into large pustules, systemic antibiotics can be used for treatment.

4. For mature pustules, the pus can be punctured and drained, rinsed with normal saline or other external disinfectant, and then antibiotic ointment, sulfonamide ointment, or 2% iodine tincture can be applied to the periphery.

5. If the pustules have not dried and scabbed 3 days after treatment, the cause should be investigated to determine whether there is concurrent Candida infection.