Acute vaginal ulcer

Introduction to acute female genital ulcer Acute female vaginal ulcer (ulcusvulvaeacutum), also known as Lipschutz ulcer, is a non-sexual disease that occurs in adolescent women and young girls, and is a non-contact infectious genital ulcer. There may be systemic symptoms at the time of onset, after a sharp period. Prone to recurrence. Clinically, it resembles a soft squat. The reduction of systemic or local resistance in the genitals of most women, such as anemia, malnutrition, and endocrine disorders, has a certain effect on the occurrence and development of this disease. basic knowledge The proportion of the disease: the incidence rate is 0.002%-0.005% in the child Susceptible people: good for young women Mode of infection: non-infectious Complications: Diabetes

Acute female scrotal ulcer cause

Cause:

The cause has not been fully understood. Some people have suspected the virus infection, but it has not been confirmed that Lipschutz believes that the disease is an independent disease. Its clinical manifestations have certain characteristics. The local secretions of the lesions contain Gram-positive crude bacteria, which is considered to be the disease. The pathogens, some authors disagree with this view, that the ulcer itself lacks sufficient features to prove to be an independent disease, the crude bacillus and lactobacilli are similar, thought to be a group of lactobacilli, no disease to humans Sex, existing in most women's genitals, systemic or local resistance decreased, such as anemia, malnutrition, endocrine disorders, etc. have a certain role in the occurrence and development of this disease, some acute infectious diseases such as typhoid, measles, chickenpox, Influenza can also trigger the disease, and some people think that this disease is a clinical manifestation of Behcet syndrome, genital herpes, and nodular erythema.

Pathogenesis:

Reduced systemic or local resistance, such as anemia, malnutrition, endocrine disorders, etc. have a certain role in the occurrence and development of this disease, some acute infectious diseases such as typhoid, measles, chickenpox, influenza, etc. can also stimulate the occurrence of this disease.

Acute female genital ulcer prevention

Prevention: Preventive according to the cause. Pay attention to life care and avoid the emergence of diseases. Public places (baths or swimming pools) may have some unclean bacteria that can cause you to contract the disease or aggravate your symptoms, and you should not go to a public place to take a bath or swim.

Acute female genital ulcer complications Complications diabetes

The gangrene type often has diabetes and has low immune function.

Acute female genital ulcer symptoms Common symptoms High heat backache vulvar ulcers thin redness female genital perineum appears red...

It mainly occurs in young women. Before the onset, there are pre-existing symptoms of different severity. The patient feels general malaise, fatigue, elevated body temperature, increased vaginal discharge, followed by burning of the genitals, itching, and rapid formation of ulcers. According to the clinical features of the ulcer, it can be divided into Three types.

1. Gangrene type: often invade the inner side of the labia minora, mostly symmetry, the number of ulcers is small, large and deep, red and swollen, the edge is not complete, the surface is attached with a lot of pus or yellowish black and black suede, after removal, the base is soft and uneven. This type of symptoms is heavier, often high fever, rapid development, often causing huge tissue defects, consciously severe pain, common in poor systemic nutrition, or combined with diabetes, immune function and other patients.

2. Lower jaw type (sexually ill type): It occurs in the inner surface of the labia majora. It can also be seen in the vicinity of the perineum and anus. The appearance is very soft and the lower jaw. The course of the disease is slow. The ulcer is lentils to the size of the cap. Round or oval. Different shades, uneven edges, piercing phenomenon, soft nature, obvious inflammatory infiltrates on the edges, grayish white purulent secretions on the surface, can be cured on one side, new hair, number of single or several concurrent, conscious pain (figure 1).

3. Miliary type: small ulcers, large number, from cap needle to rice grain, mostly round or not plastic, the size is always unchanged, there is little fusion, the center of the ulcer is deep, the periphery has inflammatory redness, the surface has A small amount of pus, the base has yellow pus, and the consciousness is mild.

All of the above three types are left with atrophic scars and are prone to recurrence.

Examination of acute female genital ulcer

The secretions of the ulcers were smeared. After Gram staining, the microscopic bacilli were easily detected by microscopic examination, and some patients had low cellular immune function such as leaching.

The pathological changes of various types were basically the same. There were tissue defects in the ulcer, deep into the dermis and subcutaneous, the tissue in the defect was highly necrotic, and there were a lot of neutrophils and a small amount of plasma cells and lymphocytes infiltrated. The collagen fibers around the ulcer were arranged in disorder. Gram staining can be seen in Gram-positive crude bacteria between necrotic tissues.

Diagnosis and diagnosis of acute female scrotal ulcer

Diagnostic criteria

According to good development in young women, non-infectious and clinical manifestations are easy to diagnose.

TCM pathogenesis and syndrome differentiation analysis: Chinese medicine believes that this disease is mostly liver heat dampness or liver and kidney yin deficiency poisonous evil, concealing the skin, blocking the meridians and disease, syndrome differentiation can be divided into 3 types:

1. Damp heat type: There are a lot of purulent secretions on the surface of the ulcer, the pain is severe, often accompanied by fever, general malaise and other symptoms, red tongue, yellow or greasy moss, slippery pulse, syndrome is hot and humid, and poison evil.

2. Yin deficiency type: repeated attacks of ulcers, lingering and unhealing, soft back and legs, hot hands and feet, dry mouth, dry throat, red tongue, little moss, pulse string or subtle, syndrome differentiation belongs to liver and kidney yin deficiency, sensation Poisonous evil.

3. Spleen deficiency type: body weight loss, shortness of breath, lazy words, no food, no sputum, pale tongue, tongue fat with scallops, white or greasy fur, mouth sores or vulvar ulcers, syndrome differentiation belongs to spleen dampness .

Differential diagnosis

1. The history of sexual contact with soft chancre, the Haemophilus ducrei can be found in the secretions, and no recurrence after the recovery.

2. Behcet syndrome: In addition to ulcers in the genitals, may be associated with ocular symptoms such as iridocyclitis, anterior chamber empyema, retinitis or choroiditis, after a slow, often recurrent.

3. Female yin inflammation: mostly erosive, generally does not form ulcers, there may be superficial ulcers when there is secondary infection, pain is not dramatic.

4. genital herpes: for most of the accumulation of vesicles, no ulcers, itchiness, mild pain, both men and women can develop.

5. Female Yin diphtheria: This disease is also more common in young girls, but the primary can also be secondary to pharyngeal diphtheria. There are acute and chronic two types. The acute ones are mostly ulcerated, but the surface is pseudomembranous, and the surface secretion is stained with Loffler. Can be found diphtheria bacilli, injection of diphtheria antitoxin has a good effect.

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