What are the symptoms of fungal vulvitis?

Patient's question:

What are the symptoms of fungal vulvitis? Hello, I am 29 years old. Recently, I have been experiencing severe itching and a bad odor in my vulva. After a thorough examination, it was found to be fungal vulvitis. What are the symptoms of fungal vulvitis?

Doctor's answer:

Recurrent, very superficial vesicular papules may occur in clusters; they can form eczematous dermatitis, localized to the vulva or extending to the perineum, around the anus, and into the inguinal folds, potentially reaching the inner thighs. The appearance is completely similar to acute or subacute eczema. The mucosa between the labia and near the clitoris becomes thickened, with erythematous dermatitis on the surfaces of skin that rub against each other. In some cases, small white pustules may develop, and in severe cases, ulcers may recur, causing pain at the affected site and inflammation of local lymph nodes. Confirmation is achieved through direct microscopic examination and culture of local secretions, where fungal hyphae and spores are easily visible under the microscope.

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