Red crusted patches on the vagina and perineum

Introduction Female perineal perineum appears in the symptoms of red crusting plaque female Reiter syndrome, female Reiter syndrome is rare, female genital skin and mucosal rash is less common. Dwards (1992) reported a female patient who started fingertip redness, tenderness, and nail separation, and had vaginal secretions, mucosal damage, and underarm pustules, and cultured with Candida albicans. After 4 years, vaginal discharge appeared, accompanied by painless oral ulcers, followed by red scarring plaques in the female genitals and perineum. Most of the Reiter syndrome occurs in adult males and can be seen in females. It often has unclean sexual intercourse, history of stagnation or urethritis, and history of diarrhea. It is characterized by urethritis, arthritis and conjunctivitis "triple syndrome".

Cause

Most of the Reiter syndrome occurs in adult males and can be seen in females. It often has unclean sexual intercourse, history of stagnation or urethritis, and history of diarrhea. It is characterized by urethritis, arthritis and conjunctivitis "triple syndrome".

After MTX treatment, the skin lesions gradually subsided, but after the reduction, the skin rash recurred, and the female genital skin showed pink scaly papules with a diameter of 1 to 2 mm. The boundary was clear. The labia minora and vestibule also had scattered white round and annular papules. The diameter is about 2 to 4 mm. The entire external reproduction can be seen with clear spatial boundaries and apical erosive papules. Skin and labia minora biopsy is consistent with Reiter's syndrome.

an examination

Related inspection

Gynecological routine examination of gynecological diseases, viral examination, gynecological ultrasound examination

The diagnosis of typical cases is generally not difficult, but the diagnosis of atypical incomplete cases is difficult. Edwards (1992) reported a female patient who started fingertip redness, tenderness, and nail separation, and had vaginal secretions, mucosal damage, and underarm pustules, and cultured with Candida albicans. After 4 years, vaginal discharge appeared, accompanied by painless oral ulcers, followed by red scarring plaques in the female genitals and perineum. After MTX treatment, the skin lesions gradually subsided, but after the reduction, the skin rash recurred, and the female genital skin showed pink scaly papules with a diameter of 1 to 2 mm. The boundary was clear. The labia minora and vestibule also had scattered white round and annular papules. The diameter is about 2 to 4 mm. The entire external reproduction can be seen with clear spatial boundaries and apical erosive papules. Skin and labia minora biopsy is consistent with Reiter's syndrome.

Reiter syndrome is characterized by aseptic urethritis, conjunctivitis and multiple arthritis. It can be found in skin and mucous membranes of other skin and other organs. It often has fever before onset and is more common in adult males.

Differential diagnosis

Most patients with haze have a history of unclean sexual intercourse. The self-conscious symptoms are severe itching of the vulva, especially at night; the pubic hair is covered with scratches, blood stasis, and eczema-like changes, which can be followed by folliculitis. The patient's underwear can be attached with a large amount of rust-colored eggs and blood stasis. Use a fine tweezers to comb the haze on the pubic hair, and see the peristaltic haze on the white paper to confirm the diagnosis; direct microscopic examination to find the adult or egg of the yin can also be diagnosed.

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