Focus on the diagnosis and treatment of vulvar leukoplakia in the middle-aged and elderly

Do you know what the symptoms of vulvar leukoplakia in the middle-aged and elderly are? What causes vulvar leukoplakia in the middle-aged and elderly? What are the treatments for vulvar leukoplakia in the middle-aged and elderly?

Vulvar leukoplakia is just a general term for many diseases. There are actually many types of vulvar leukoplakia in the middle-aged and elderly. Do you want to know about vulvar leukoplakia in the middle-aged and elderly? Here we will introduce some common symptoms and treatments of vulvar leukoplakia in the middle-aged and elderly.

Symptoms of vulvar leukoplakia in middle-aged and elderly people: sclerosing atrophic lichen, which can be clinically divided into three types:

1) Proliferative dystrophy: It usually occurs in women aged 40 to 60 years old. The main symptom is unbearable itching of the vulva. The lesions are light pink at the beginning, and then gradually turn white. The lesions mainly occur in the labia majora and the labia minora groove, and sometimes spread to the area around the anus. The skin color is dark red, mixed with white spots, and becomes mottled (lichenification). As the disease progresses, the surface skin atrophies and becomes thinner. At the same time, the skin in the affected area thickens, like leather, with raised wrinkles, or has scales and eczematous changes. It is difficult to distinguish it from eczema and dermatitis clinically. If necessary, it can be distinguished by pathological histology.

2) Lichen sclerosus dystrophy: It can occur at any age, but is most common in women around 40 years old. The main symptom is itching at the site of the lesion. The lesions can invade the clitoris, labia majora and minora, posterior symphysis, and around the anus. It starts as small white papules with irregular borders and a flat surface, and then gradually melts into white spots. As it develops, the skin in the affected area becomes thin and wrinkled like cigarette paper, resulting in atrophy of the entire vulva, contracture and narrowing of the vaginal opening, and difficulty in sexual intercourse.

3) Mixed malnutrition: It has some of the same characteristics as the above two types, mainly manifested as thin vulva whitening area adjacent to or within its range accompanied by focal skin thickening or protrusion, lichenification.

Symptoms of vulvar leukoplakia in middle-aged and elderly people 2: chronic dermatitis

Causes of the disease: patients often have work stress, psychological disorders, insomnia, allergic constitution, etc., or are locally stimulated by certain factors (such as sanitary napkins, underwear, secretions, allergens, detergents, etc.), and may have local redness, burning sensation, and itching. Further development or due to scratching, papules, papulovesicles, erosion, exudation, scabs, or skin roughening, peeling, hypertrophy, and severe lichenification may occur. Mechanical stimulation such as scratching may be the main reason for the development of the disease.

Symptoms of vulvar leukoplakia in middle-aged and elderly people: lichen planus

The cause of lichen planus is unknown and has not yet been determined. There are theories of heredity, autoimmunity, infection, psychoneurology, drugs, chronic lesions, metabolism and endocrinology. It is a chronic or subacute skin disease that often occurs in the skin and mucous membranes. The lesions are composed of white, light pink or purple flat papules fused together. There are many clinical types and it can also occur in various parts of the body. Those that occur in the vulva often involve the labia majora and minora, the clitoral hood and the vestibule area of ​​the vagina. The bilateral sides often occur asymmetrically, and the shape of the whitened area is also irregular. The border is sometimes not very clear, and there is also mild atrophy, which is quite similar to the sclerosing atrophic lichen planus of the genitals. The pathological changes of typical lichen planus can be seen at the edge of the whitened area to distinguish it from it.

Symptoms of vulvar leukoplakia in middle-aged and elderly people 4: Vitiligo

It can occur anywhere on the body. Those that occur only on the vulva are easily confused with vulvar leukoplakia. The lesions are white, with irregular borders, and sometimes occur scattered and beyond the boundaries of the vulva. They occur asymmetrically on both sides, with no epidermal thickening or atrophy, and normal tissue elasticity. The skin around the whitened area is slightly darker in pigment, and the pubic hair growing on the whitened skin is also white. Vitiligo usually has no subjective symptoms. If there is a secondary infection, itching will occur, and the color will change from white to pink. After sectioning, under the microscope, except for the complete disappearance of the basal layer pigment, the rest of the skin is exactly the same as normal skin, with no abnormalities. A careful observation of the appearance can usually confirm the diagnosis.

There are actually many symptoms of vulvar leukoplakia in the middle-aged and elderly. Through the above introduction to vulvar leukoplakia in the middle-aged and elderly, we hope to be able to give you some helpful information. If you still have questions about vulvar leukoplakia in the middle-aged and elderly, please consult our online experts, who will answer your questions.

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