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 vulva, such as moisture or heat, can trigger leukoplakia of the vulva. Traditional Chinese Medicine suggests that it is often caused by dampness and heat from the liver meridian affecting the vulva, or by conditions like blood deficiency with liver hyperactivity, yin deficiency of the liver and kidneys, or kidney yang deficiency, which prevent the nourishment of the vulva with essence and blood.Advice: Medication can include vitamin supplements. If the vulvar itching is severe and affects sleep, you may take some sedative drugs. Locally, you can apply 1% hydrocortisone and 1-2% testosterone cream. This treatment can 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 not wear non-breathable synthetic underwear.