Patient's question:
What is the cause of leukoplakia of the external genitalia in children?Doctor's answer:
Hello, it may be related to systemic factors, such as diabetes or endocrine disorders. Local environmental factors of the external genitalia, such as moisture and heat, can trigger leukoplakia of the vulva. Traditional Chinese Medicine states that it is often caused by dampness from the liver meridian descending into the vulva, or by conditions like blood deficiency with liver excess, yin deficiency of the liver and kidneys, or kidney yang deficiency, where essence and blood cannot nourish the vulva.Recommendations: Medication can include vitamin supplements. If the vulvar itching is severe and affects sleep, appropriate sedatives can be taken. Locally, 1% hydrocortisone and 1–2% testosterone cream can be applied. This treatment should be maintained for 6–8 weeks, with 3–4 applications per day. While adhering to long-term treatment, it is important to keep the vulva clean and dry, avoid tight underwear, and avoid wearing non-breathable synthetic underwear.