Flushing of the skin of the genitals

Introduction Inflammatory and recurrent sexually transmitted diseases caused by herpes simplex virus (HSV) invading the skin and mucous membranes of the genital area make the perineum moist, hot and red. Common causes are eczema and genital herpes. The preventive measures for this disease are as follows: 1. Avoid unclean sexual intercourse and improper sexual relations. Active genital sores must be strictly prohibited from having sex with anyone. 2. Patients should cooperate with doctors to establish a cure confidence and avoid all kinds of suspicious pathogenic factors, such as hot water washing, excessive use of soap, hard work and improper use of external medicine. Pay attention to avoid mental stress and overwork in your life. Do not eat chili, fish, shrimp, crab or strong tea, coffee or alcohol in food. It is not advisable to use silk, wool and chemical fiber products. It usually keeps the stool smooth and sleeps adequately. Pay attention to clean and moisturizing skin in winter. These can reduce the recurrence of eczema.

Cause

The cause of flushing of the genital skin:

Eczema, genital herpes.

an examination

Related inspection

Viral infection immunoassay enzyme-linked immunosorbent assay

Patients with conscious symptoms and laboratory tests found that the genital herpes simplex virus can be diagnosed.

First, virus culture: specimens taken from the bottom of the blister, women can also take the material from the cervix neck for tissue culture to isolate the virus, this method is sensitive, the results are specific, the gold standard for diagnosis. However, the technical conditions required for this method are high, and the time from inoculation to identification is 3 to 5 days. The positive rate of culture is 60% to 90%. Therefore, culture negative can not exclude genital herpes.

Second, direct detection of viral antigen: cell smear at the lesion, with a specific antibody for direct immunofluorescence. Immunoperoxidase method, enzyme-linked immunosorbent assay (ELISA) or the like can also be used. Its sensitivity can reach 80% of the culture method.

Third, cytological examination:

(a) Tzanck smear: From the basal print of the blister, multi-nuclear giant cells were found by staining with Wright or Giemsa. Characteristic multinucleated giant cells can be found in both HSV and varicella zoster virus infection.

(B) Papanicolaou smear: After the cervix is exposed to the cervix, the smear is smeared at the cervix for Pap staining to check for multinucleated giant cells. The sensitivity of cytology is low, which is 40% to 50% of the culture method. The positive result is helpful for diagnosis, and the negative can not be denied diagnosis.

4. Serological detection of serum antibodies: detection by HSV-1 and HSV-2 specific antiserum. Especially suitable for the detection of asymptomatic HSV-2 carriers.

V. Molecular biological methods: DNA detection of viruses commonly used in enzyme chain polymerization (PCR), in situ hybridization, etc., due to high technical requirements, is currently not suitable for clinical use.

Differential diagnosis

Pussy skin flushing requires identification of eczema and genital herpes:

Eczema: Eczema is a common inflammatory skin disease caused by a variety of internal and external factors in the epidermis and dermis. It is characterized by conscious pruritus, pleomorphic lesions, symmetric distribution, and tendency to exude. Chronic course, easy to recurrent. "Immersion sore", "spinch sore", "hydrangea", "four bends", "milk" and other Western medicine-like acute eczema, ear-wet eczema, scrotal eczema, atopic dermatitis In recent years, the incidence of eczema has been on the rise, which may be related to changes in the climate environment, the application of a large number of chemicals in life, nervousness, accelerated pace of life, and changes in diet.

Genital herpes: Genital herpes is one of the common sexually transmitted diseases in China. Caused by herpes simplex virus (HSV) infection. Herpes simplex virus is divided into two types, HSV-1 and HSV-2. HSV-1 is in close contact with the respiratory tract, skin and mucous membranes, mainly causing infections of the lips, pharynx, eyes and skin. A small number (about 10%) can also cause genital herpes, which is caused by oral sex. Physical pain and spiritual burden often frustrate patients' self-esteem and make them unwilling to interact with the opposite sex, leading to sexual dysfunction, affecting the marital relationship and family harmony, and even depression.

Patients with conscious symptoms and laboratory tests found that the genital herpes simplex virus can be diagnosed.

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