Vaginal itching, small white spots and white scales after scratching

Patient's question:

Doctor: Hello!
Recently, I don't know why, the pubic area has been itchy. After scratching, there are some small white spots and some white scales in the pubic area. I have applied some Daktarin cream, but it seems to have had no effect. Could you please tell me what this is?
Thank you

Doctor's answer:

It may be a secondary form of vulvar hypopigmentation disease: this condition is caused by excessive keratinization and desquamation of the vulvar epidermis, resulting in white patches. It often presents with local symptoms such as itching, burning, or even pain. It could also be vulvar squamous hyperplasia. It is recommended to seek medical attention for a definitive diagnosis. Additionally, personal hygiene should be maintained, wearing breathable cotton underwear, and keeping the vulvar area dry and clean.

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