How to treat vulvar eczema

Vulvar eczema is a relatively common skin disease in women. Because the location of the disease is relatively hidden, some women will ignore treatment, which will cause greater harm to women's health. Good treatment should be carried out in time. There are many treatment methods. For the acute stage, you can use cold compress with saline solution, and then clean with diluted potassium permanganate solution. In addition, you can also use antihistamines and vitamin drugs for treatment.

(1) Acute phase: local treatment is the main approach. In the acute phase, use cold, wet compresses with saline. Apply zinc oxide ointment when erythema, blisters, and exudation are not obvious. When there is no exudate or pustules, 1% phenol-containing glycerin lotion can be used for external washing. When there is obvious exudation, 3% boric acid solution and 1:8000-1:5000 potassium manganate solution can be used for cold wet compresses. If erosion occurs, it is advisable to use anti-inflammatory drugs and compound copper sulfate solution for external washing to prevent corrosion and astringency. In case of secondary bacterial and fungal infection, corresponding antibacterial and antifungal ointments can be used, such as 0.5% neomycin ointment, 2% oxytetracycline and zinc oxide ointment, and 0.1% ethacridine (Rivanol) solution for wet compress. In addition to wet compress during the scab period, triamcinolone acetate (triamcinolone) cream, fluocinolone acetonide cream, etc. can be applied to astringe and relieve itching and keep dry.

(2) In the subacute stage of eczema, when the skin is mildly infiltrated, crusted, or desquamated, pastes or creams may be used. Various types of corticosteroid creams may also be used.

(3) Chronic stage: The treatment principles for chronic eczema are to relieve itching, inhibit epidermal cell proliferation, and promote absorption of dermal inflammation. When the skin is thickened and infiltrated, apply flufenamic acid (flufenamic acid butyl ointment, Bute); you can also use 5% to 10% compound pine oil ointment, 2% borneol and corticosteroid ointment. Chronic and refractory cases can be treated with cryotherapy, radionuclide (32p) application, or superficial X-ray irradiation. If necessary, topical application of corticosteroids such as triamcinolone acetonide (triamcinolone) and urea ointment can increase the efficacy.

Systemic treatment targets the cause of the disease, keeps the vulva clean, avoids scratching, pays attention to rest, and avoids eating foods that are prone to allergies. Antihistamines and other drugs can be taken orally.

(1) Antihistamines and other drugs: diphenhydramine 25 mg, 3 times/d, orally. Chlorpheniramine (chlorpheniramine) 8 mg, 3 times/d, orally. For those with severe itching, 10 ml of 5% calcium bromide or 10 ml of 10% calcium gluconate can be injected intravenously once a day.

(2) Vitamins: Large amounts of vitamin C can be given intravenously or orally, and B vitamins can be taken orally in conjunction with treatment.

(3) Hormones: can be used for acute and severe eczema. Prednisone, dexamethasone and other treatments can be given, which have a certain effect on eliminating inflammation, relieving itching and reducing exudate. Due to the high number of adverse reactions, care should be taken to control its use. It should not be used for chronic eczema in the elderly because it may relapse quickly after discontinuation of the drug and cause other adverse reactions.

(4) For those with infection, appropriate antibiotics should be used for treatment.