Patient's question:
What happened? Medical history and treatment: Three years ago, I was diagnosed with vitiligo at Xiangfan, and they prescribed medication. After that, the affected area improved somewhat. I have read many books on this topic and wonder if it might be leukoplakia of the vulva. What is the difference between leukoplakia of the vulva and vitiligo? It has been about eight or nine years, and it has not...Doctor's answer:
Patients with squamous hyperplasia type, in the early stage, the vulva presents with small, white, uneven-colored papules, itching, and severe itching; in severe cases, it peels off white scales, itching intensifies, becomes unbearably itchy, and disrupts sleep. The vulva gradually shrinks, hardens, and becomes leathery, with an uneven texture. In the late stage, it becomes dry and cracked, causing unbearable pain and itching, making the vulva resemble old tree bark, dry, and cracked, which makes it difficult for patients to sleep and lose appetite. Over time, it leads to physical and mental exhaustion in patients.For patients with hyperplasia type, the diagnosis method for vulvar leukoplakia includes: bilateral labia minora and clitoris, as well as the foreskin, showing varying degrees of enlargement, thickening, and a brown or dark blue surface. The clitoris may have varying degrees of adhesion, and the bilateral labia minora enlarge into an elliptical shape. Patients may experience decreased or no libido, abnormal irritability, and mild itching in some cases. In the late stage, it is prone to malignancy.