Leukoplakia
Introduction
Introduction Vulvar leukoplakia, also known as female leukoplakia. It is pointed out that the limitations of women's genital skin or diffuse white plaques can spread to the inside of the lower extremities, the perineum and the anus, but rarely invade the urethra and vestibule. Symptoms of genital itching, dry skin, thick and white, loss of elasticity, and even shrinkage and ulceration, pain and burning. The disease can occur at any age and is reported in all periods of women: in childhood, adolescence, menopause, and old age, but menopause is around 50 years old, with varying lengths of illness and decades of elders. The predilection site is mainly between the clitoris, labia minora and the medial sulcus of the labia majora, sometimes occurring in the vestibule, vaginal and urethral orifice, posterior union, etc., often symmetry.
Cause
Cause
The disease is closely related to the liver, kidney and spleen. The mechanism is:
Liver through the vaginal device, the main blood: the main reproductive of the kidney, open to the second yin; the main muscle of the spleen. Clinical manifestations can be divided into two symptoms: virtual and real. The so-called virtual person means that the blood is incapable and dry, so that it is caused by the loss of the yin, the genital loss of support or warmth; the so-called real, is due to liver spleen, liver heat and spleen wet, wet and hot Mutual impregnation, impaired damage, causing the genitals to be wet and hot, causing the disease. Clinically, it is mainly caused by deficiency syndrome, that is, it is caused by evil.
Common are:
(A), blood deficiency and dryness
Insufficient source of spleen deficiency, or suffering from stagnation of blood for a long time, or for other reasons, the body loses blood and suffocates, and rushes to blood deficiency, resulting in poor protection of the genital skin and making the vulva skin dry and causing disease. Symptoms: The vulva skin becomes white, dry and dull, wrinkled, and itchy at night.
(two), liver and kidney yin deficiency
Long illness or frail, liver and kidney deficiency or excessive sexual life, kidney essence damage, two blood and wounds, can not moisturize and cause the vulva to dry up. Symptoms of symptoms: itching of the genitals, heavy at night, atrophy of the vulva, dry and crisp at the lesion, severe flattening of the labia majora, disappearance of the labia minora, and narrowing of the vaginal opening.
(three), spleen and kidney yang
The body is yang deficiency, or the kidney yang deficiency is caused by other reasons, the yang deficiency is cold inside, the cold is dying, the genitals lose their warmth, the yang is condensed and the genital muscles are blocked, and the blood circulation is blocked, so the skin of the vulva is discolored. Symptoms of the disease: the vulva skin becomes white, atrophy and thickening.
(four), liver heat and damp heat
Mostly due to physical depression or anger and anger, liver qi stagnation, stagnation of heat, dampness and evil flow of the coke, impregnation of the vulva and disease. Symptoms of symptoms: pigmentation of the genital skin and mucous membranes, roughness, wrinkles, redness and itching, yellow water in the scratch, wetness changes, local burning pain, and more yellow odor.
Examine
an examination
Related inspection
Phagocytosis of Candida albicans functional test gynecological routine examination of genital gynecological routine examination
1. Leucorrhea examination: The inspection items include 6 items such as pH value, cleanliness and amine test. It should be noted that the different physical conditions of the patient can affect the correctness of the examination. It is necessary to pay attention to the prevention of leukoplakia examination in the case of this: genital purulent infection, banned during menstruation.
2, vulva biopsy: is one of the main inspection methods, the test results are accurate and reliable, generally can report results in 20 minutes.
3, peeping inspection: use the peeper to go deep into the vulva check, check the vulva and the specific situation of the affected area. Wu's lamp inspection: using Wu's lamp to illuminate the lesion in the dark room, which helps to judge the leukoplakia.
Diagnosis
Differential diagnosis
The difference between leukoplakia and vitiligo, albinism, and Behcet's disease:
1, vitiligo: If the vulva skin has a well-defined whitish area, but the surface is smooth and moist, the texture is completely normal, and there is no symptoms of vitiligo.
2. Vulvar albinism: It is a systemic hereditary disease, but it may also occur only in the vulva. There is no symptom of local albinism in the vulva, and there is no special change in the biopsy except the epidermal pigment.
3, Behcet's disease: mainly manifested as genital ulcers, often combined with eye and oral damage. Also called eye, mouth, genital syndrome. Chinese medicine is called fox disease.
4. Although leukoplakia is different from albinism, vitiligo and Behcet's disease, they are also likely to be concurrent, and pathological biopsy is the only means of diagnosis.
Vulvar leukoplakia is a disease caused by cell damage. Because the disease of the cell can not absorb nutrients from the body, the body's body resistance and resilience are reduced, and other gynecological diseases are easily induced. Seriously, it will appear. Different degrees of vulvar skin become white, accompanied by atrophy or hyperplasia of vulva; although vitiligo also loves to occur in the vulva, but its characteristics are also obvious, white spots are mostly milky white, plaque shape and size, but the border is ten Clearly, it usually occurs on the labia majora or labia minora. If it occurs in the upper part of the labia majora, the pubic hair will become white.
