Post Date April, 15 2023
Vulvar eczema is a common gynecological disease, and its impact on patients is also severe after illness. It is necessary to clarify its harm and manifestations, and immediately check and diagnose after illness.
What is external genital eczema
Vulvar eczema is an allergic skin disease caused by various causes, characterized by multiform lesions and severe itching caused by inflammatory exudation. Allergy is an important cause of illness. Vulvar eczema can affect the external genitalia and surrounding skin, with severe itching symptoms.
Symptoms of external genital eczema
1. Acute phase: Erythema, edema, papules, and blisters gather together. Bubbles can fuse, rupture, erode, exude, and form scabs. Diseases are often symmetrically distributed, relatively limited, and recur.
2. Subacute stage: erosion, reduced exudation, scabbing, and desquamation.
3. Chronic phase: After the acute phase, the inflammatory response is mild, with skin hypertrophy, dryness, peeling, accompanied by pigmentation or reduction.
Examination for external genital eczema
1. Suspected individuals with contact factors should undergo patch testing to search for allergens. In the acute phase, when combined with bacterial infection, peripheral blood white blood cells and neutrophils increase.
2. Pathological examination of the lesion area.
Differential diagnosis of vulvar itching
1. Distinguishing from eczema infection, eczema infection often has clear boundaries and circular edges. Small pustular skin lesions can be seen as erythema, exudate, and yellow oily scabs with bright red erosive surfaces. In areas with wrinkles, eczema infections often form cracks.
2. Keratosing eczema should be distinguished from psoriasis, with clear boundaries that do not exude skin damage and cover with silver white scales.
3. Acute eczema should be distinguished from contact dermatitis of the external genitalia.
4. Chronic eczema requires the differentiation of neurodermatitis and vulvar itching.
5. Differentiation from female mucosal leukoplakia: Female mucosal leukoplakia can be seen in women over 40 years old. The damage mainly affects some gray white spots on the mucosa of the penis, labia minora, and labia majoris, accompanied by excessive keratinization and severe itching.
