Patient's question:
AgeDetailed medical condition and purpose of consultation: Itching of the vulva, white patches, cracking
Duration of current illness: About 2 months
Current general condition: Not taking medication
Medical history: None
Previous diagnoses and treatment history and effectiveness: None
Auxiliary tests: None
Other: None
Doctor's answer:
Hello: Leukoplakia of the vulva (chronic vulvar dystrophic lesions):Leukoplakia of the vulva
Leukoplakia of the vulva refers to a group of diseases characterized by tissue degeneration and pigment changes in the skin and mucosa of the vulva due to nutritional disorders. It is also known as chronic vulvar dystrophic lesions.
Hyperplastic leukoplakia of the vulva (hyperplastic dystrophy) generally occurs in women aged 30 to 60, with the main symptom being severe itching of the vulva. The lesions primarily occur on the labia majora and labia minora, sometimes extending to the perianal area. The skin appears dark red, with white patches interspersed, forming a mottled pattern (lichenified). The affected skin becomes thickened, resembling leather, with raised folds or scales or eczematous changes.
Lichen sclerosus leukoplakia of the vulva (lichen sclerosus dystrophy) can occur at any age but is most common in women around 40. The main symptom is itching in the affected area. The lesions may involve the clitoris, labia majora, labia minora, posterior commissure, and perianal area. Initially, small white papules with irregular borders and flat surfaces appear, gradually coalescing into white patches. As the condition progresses, the skin in the affected area becomes thin and wrinkled, resembling cigarette paper, leading to vulvar atrophy, vaginal stenosis, and difficulty during intercourse. Young girls with this condition often experience discomfort in the vulva and perianal area after urination or defecation, and the lesions usually resolve spontaneously during puberty.
Mixed leukoplakia of the vulva (mixed vulvar dystrophy) is a combination of the two types mentioned above, with visible vulvar atrophy accompanied by raised white patches.
Leukoplakia of the vulva with atypical hyperplasia, atypical hyperplasia has no specific clinical manifestations, and diagnosis primarily