Interstitial cystitis limited vulvitis and desquamative vaginitis syndrome
Introduction
Interstitial cystitis limited vulvitis and desquamative vaginitis syndrome Patients with interstitial cystitis, localized vulvitis and vaginal vaginitis syndrome have frequent urination, pyuria and bladder pain, nocturia, genital itching, genital discomfort, difficulty in intercourse, pain during intercourse, abnormal vaginal discharge, abnormal Genital tract odor, vestibular lesions, urethral tenderness and bladder tenderness. There is a small erythematous lesion in the lateral vestibule of the hymen. Other tests are normal. Using a cotton swab or a finger to press these lesions can cause tenderness or discomfort. The vulva has discomfort, burning sensation or pain. There are purulent secretions in the vagina. The pH of the vagina is 4.5-5.5. The addition of 10% potassium hydroxide solution to the secretions does not produce a fishy smell. Patients are more common in young women, more sexual partners, drinking women are prone to this syndrome, plus the above clinical manifestations should consider the existence of this syndrome. basic knowledge The proportion of illness: 0.001% Susceptible people: more common in young women Mode of infection: non-infectious Complications: edema
Cause
Interstitial cystitis localized vulvitis and the cause of desensitizing vaginitis syndrome
Cause:
Interstitial cystitis, localized vulvitis, and desensitized vaginitis syndrome are associated with multiple sexual partners, Candida infection, Ureaplasma urealyticum infection, or sequelae after infection. Tissues involved in localized vulvitis and interstitial cystitis, including the bladder, urethra, and vestibular tissue, which all originate from the genital sinus of the embryo, may be associated with autoimmune causes.
Pathogenesis:
In patients with interstitial cystitis, localized vulvitis and desensitized vaginitis syndrome, the bladder mucosa becomes thinner, ulcers can be seen under the microscope, edema, congestion, telangiectasia and perivascular hemorrhage in the lower layer of the epidermis, lymphocytic infiltration Mast cells and eosinophils can also be seen. The pain is persistent or only occurs after bladder congestion, bladder emptying, or bladder impact, such as during sexual intercourse. The course of disease is longer or the bladder of the older woman can shrink and become smaller. There are obvious ulcers.
Prevention
Interstitial cystitis localized vulvitis and prevention of desensitizing vaginitis syndrome
Reduce your partner and drink less. In addition, it is necessary to maintain an optimistic and happy mood; life restraint pays attention to rest, work and rest, life is orderly, and maintaining an optimistic, positive and upward attitude towards life is of great help in preventing diseases. A reasonable diet can consume more high-fiber and fresh vegetables and fruits, and the nutrition is balanced.
Complication
Interstitial cystitis localized vulvitis and complications of desensitization vaginitis syndrome Complications edema
Concurrently infected with diffuse diseases.
Symptom
Interstitial cystitis localized vulvitis and symptoms of desensitizing vaginitis syndrome Common symptoms Itching urinary frequency vaginal discharge increased nocturia increased purulent secretions sexual intercourse difficulty pus urinary congestion edema
Patients with interstitial cystitis, localized vulvitis and vaginal vaginitis syndrome have frequent urination, pyuria and bladder pain, nocturia, genital itching, genital discomfort, difficulty in intercourse, pain during intercourse, abnormal vaginal discharge, abnormal Genital tract odor, vestibular lesions, urethral tenderness and bladder tenderness. There is a small erythematous lesion in the lateral vestibule of the hymen. Other tests are normal. Using a cotton swab or a finger to press these lesions can cause tenderness or discomfort. The vulva has discomfort or pain. There are purulent secretions in the vagina. The pH of the vagina is 4.5-5.5. The addition of 10% potassium hydroxide solution to the secretions does not produce a fishy smell. Patients are more common in young women, more sexual partners, drinking women are prone to this syndrome, plus the above clinical manifestations should consider the existence of this syndrome.
Cystoscopy under anesthesia can make a diagnosis of interstitial cystitis. The appearance and volume of the bladder are normal. However, after the bladder is filled, emptyed, and then refilled, scattered submucosal hemorrhage is often seen. Biopsy can show pathological changes in the lower layer of the epidermis, such as edema, hyperemia, telangiectasia and perivascular hemorrhage, and can also be used to exclude some carcinomas in situ and tuberculosis. There is a small erythematous lesion in the lateral vestibule of the vulva of the localized vulvitis, and the rest are normal. The pH value of the vagina was measured, and 10% potassium hydroxide solution was added to the vaginal secretions without the odor of the fish. The microscopic examination of the secretion suspension showed no cells that could indicate the diagnosis, and the secretion only had a large number of white blood cells and an immature vagina. Epithelial cells (basal cells) were negative for Chlamydia trachomatis, Neisseria gonorrhoeae, and Trichomonas vaginalis.
Examine
Interstitial cystitis, limited vulvitis and vaginal vaginal syndrome
Urine routine examination and bacterial culture, vaginal discharge smear examination, vaginal pH check. Vaginal epithelial cell pathology, immunological detection of mycoplasma infection. No abnormal performance.
Diagnosis
Diagnosis and differentiation of interstitial cystitis with vulvitis and desquamative vaginitis syndrome
diagnosis
Diagnosis can be based on medical history, clinical symptoms, and laboratory tests.
Differential diagnosis
Interstitial cystitis, localized vulvitis and desensitized vaginitis syndrome are differentiated from infectious cystitis, infectious vulvitis and vaginitis, and should be differentiated from carcinoma in situ and tuberculosis.
