Vulvar ulcer is not necessarily a sexually transmitted disease. Differential diagnosis of vulvar ulcer

Vulvar ulcers are a common condition and occur in many cases. There are also many causes of vulvar ulcers, which not only cause sexually transmitted diseases but also require immediate differential diagnosis.

Vulvar ulcers are not necessarily sexually transmitted diseases

There are many reasons for vulvar ulcers, so it is necessary to carefully observe them from aspects such as appearance, medical history, course of disease, and disease evolution, combined with comprehensive consideration of smear, culture, hematological examination, and systemic examination of the secretion on the ulcer surface. For external genital ulcers that have not been cured for a long time, live tissue should also be taken from the lesion for pathological examination to clarify the diagnosis. After suffering from vulvar ulcers, one should immediately seek medical attention at the hospital, identify the cause as soon as possible, and carry out targeted treatment under the guidance of a doctor. Do not consider indiscriminate use of drugs to avoid difficulties in diagnosis and treatment, delay the condition, and cause irreversible results.

Etiology of vulvar ulcer

1. Non specific vulvitis: The condition is mild and often occurs after scratching. The ulcer is superficial, but the pain is obvious.

2. Sexually transmitted diseases: In the process of many diseases, there are discussions on vulvar ulcers, genital herpes, soft prickly heat, sexually transmitted lymphogranuloma, and syphilis.

3. Inguinal granuloma: Skin damage often occurs in the external genitalia, initially as subdermal nodules, which then form a well-defined proliferative granulomatous ulcer with a foul odor, rolled edges, red center flesh, easy to bleed upon contact, no pain, pus on the surface of the ulcer, and many satellite shaped small ulcers around it

4. Behcet's disease: also known as eye mouth genital syndrome. During the pathological process, acute vulvar ulcers often occur, and the good affected areas are the inner side of the labia minora, the inner half of the labia majoris, and the vaginal vestibule. The clinical manifestations include the following three forms.

(1) Malicious maggots: The most severe clinical symptoms. Before the occurrence of ulcers, there are systemic symptoms such as fever and fatigue. The lesion is characterized by obvious redness and swelling, a small number of ulcers, and a chiseled appearance with deep and irregular edges. There is a large amount of pus attached to the surface of the ulcer, or there is a dirty yellow or grayish black pseudomembrane attached. After removing the pseudomembrane, it can be seen that the base is uneven. The lesion develops rapidly, sometimes causing large areas of tissue erosion and defects, resembling vulvar cancer in appearance, but with soft edges and bases. The patient has severe pain.

② Chancre type: This type is more common. The condition develops slowly and there are no obvious systemic symptoms before onset. There are many ulcers with shallow surface, but the area is relatively large, with surrounding redness and swelling, irregular edges, and perforation. The surface of the ulcer is accompanied by pus coating. The patient's symptoms are mild, and the ulcer heals within a few weeks, but new ulcers may appear nearby..