Understand the classification of vulvar leukoplakia

Did you know that the clinical manifestations of vulvar leukoplakia are hypopigmentation, whitening, keratinization, roughness, thickening, desquamation, hardening, fissures, ulcers, atrophy of the labia majora and minora , itching or unbearable itching , etc. Now let's learn about the disease classification of vulvar leukoplakia .

Vulvar dystrophy can cause local lesions , which can be divided into proliferative dystrophy, lichen sclerosus dystrophy, and mixed dystrophy according to the differences in its tissue pathological changes .

Squamous epithelial hyperplasia

It is a vulvar disease with vulvar itching as the main symptom but unknown etiology . Although there is no direct cause of this disease , anatomical and physiological factors such as the long-term moisture of the local skin of the vulva and the stimulation of vaginal discharge may be related to its occurrence . This disease is more common in postmenopausal women , but it can also occur in reproductive age .

Vulvar itching is the main symptom of this disease , and most patients find it unbearable . Since scratching stimulates larger nerve fibers , it can inhibit the reflex of itching nerve fibers , and the itching of patients can be temporarily relieved . However, scratching can cause further damage to the skin , thereby triggering new itching reactions and making the itching more severe , forming a vicious cycle .

The range of vulvar lesions varies , mainly involving the labia majora, the interlabial groove, the clitoral hood, the posterior labial symphysis, etc. , and the length is symmetrical . When the early lesions are mild , the skin color is dark red or pink , and the hyperkeratotic area is white . Due to long-term scratching and friction , the skin thickens like leather , the pigment increases , the skin texture is obviously prominent , the skin ridges are raised , and there are many small polygonal flat papules , which are clustered into pieces and have lichen-like changes . Therefore, this disease is also clinically called chronic simple lichen . Due to the different degrees of local moisture, scratching and friction , and the different reactions to local medications , the lesions in different parts of the patient are different in shape . In severe cases, scratching can cause epidermal scratches, cracks, and ulcers .

Vulvar lichen sclerosus

It is a skin disease characterized by atrophy and thinning of the vulva and perianal skin . Although the cause is unknown , there is a family history of inheritance . Some scholars have also found that patients with this disease usually also have autoimmune diseases such as alopecia areata, vitiligo, hyperthyroidism or hypothyroidism , indicating that this disease is related to autoimmunity .

Mixed malnutrition

When the disease of patients with hyperplastic and atrophic leukoplakia develops to the middle to late stages , they usually experience mixed symptoms of the two types . The pathological manifestation is mixed malnutrition .

The above is the relevant information about the classification of vulvar leukoplakia . I hope it will be helpful for your understanding . If you have other questions about vulvar leukoplakia , please consult our experts online and they will answer your questions . Thank you .

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