annular vulvitis
Introduction
Introduction to annular vulvitis The cause of cyclic vulvitis is not very clear. Fungal culture and microscopy are usually negative, but anti-candida treatment is effective in most patients, presumably related to Candida infection. Good young women, the average age is 32 years old. Symptoms are intermittent and related to the menstrual cycle, usually occurring in the premenstrual or menstrual period. After sexual intercourse, there is often aggravation. Examination of the vulva reveals obvious erythema and is distributed in a ring shape. Wiping with a cotton swab is tender. basic knowledge The proportion of sickness: 0.6% Susceptible people: good young women Mode of infection: non-infectious Complications: vaginitis cervicitis urethritis
Cause
Cause of ring vulvitis
Skin disease (30%):
Such as sclerotic atrophic moss, lichen planus, eczema, genital fissure tissue pathological examination without specific findings, may have hyperkeratosis, parakeratosis, acanthosis hypertrophy, intraepidermal edema and dermal superficial telangiectasia.
Vaginosis (25%):
Infectious factors such as fungal or bacterial infections, especially non-Candida albicans and group B beta-type hemolytic streptococcus, non-infectious factors such as atrophic vaginitis, desquamative inflammatory vaginitis.
Allergic to female or progesterone (30%):
Some authors have found that patients with annular vulvitis who are resistant to multiple treatments are allergic to female or progesterone.
Prevention
Annular vulvitis prevention
Public places (baths or swimming pools) may have some unclean bacteria that can cause you to contract the disease or aggravate your symptoms, and you should not go to a public place to take a bath or swim.
Complication
Annular vulvitis complications Complications vaginitis cervicitis urethritis
Bacterial infection can lead to vaginitis, cervicitis, painful intercourse, and abdominal pain. Infection with adjacent tissues leads to urethritis, which can be characterized by frequent urination, urgency, and dysuria.
Symptom
Vulvar vulvitis symptoms common symptoms vulvar pain vulvar ulcer vaginal secretions increased
Symptoms of annular vulvitis are intermittent and related to the menstrual cycle, usually in the premenstrual or menstrual period, often exacerbated after sexual intercourse, check the vulva to find obvious erythema, ring distribution, swab with cotton swabs It is tender.
Examine
Examination of annular vulvitis
Direct microscopic examination of vaginal secretion fungi, but the positive rate is only 61%. Bacterial culture can sometimes produce group B -type hemolytic streptococcus, and some patients can find delayed type allergic reaction by intradermal test with estrogen and progesterone.
Diagnosis
Diagnosis and diagnosis of annular vulvitis
According to the unknown reasons, it is common for young women to have painful vulvar erythema and ring distribution, which can be diagnosed initially, but the primary disease must be excluded.
Differential diagnosis includes various infectious vulvitis and vulvar pain with a clear cause.
