Patient's question:
Recently, there has been thick, yellow discharge with a strong odor. After examination, it was found to be simple vulvitis. What is simple vulvitis?Doctor's answer:
Clinical manifestations. In the acute phase, the external genitalia show swelling, congestion, and erosion, sometimes forming ulcers or extensive eczema. Patients experience burning, itching, or pain in the external genital area, especially during urination. In severe cases, inguinal lymph nodes may become enlarged and tender, with a slight drop in body temperature and an increase in white blood cells. In diabetic vulvitis, the external genital skin becomes red, thickened, and often brown, with scratch marks. Due to the presence of urinary sugar, which promotes the growth and adaptation of molds, it is often a secondary infection with Candida albicans. In chronic inflammation, the external genital area itches and becomes lichenified. Diagnosis. A detailed medical history should be taken, including the amount and characteristics of secretions, and whether any special factors are present. For elderly patients, attention should be paid to the presence of a history of diabetes.