How is acute vulvar ulcer?

summary

The etiology of acute vulvar ulcer has not been fully understood. Some people have suspected virus infection, but it has not been confirmed. Lipschutz thinks that the disease is an independent disease, and its clinical manifestations have certain characteristics. There are Gram-positive bacilli in some secretions of the lesions, which is considered to be the pathogenic bacteria of the disease. How is acute vulvar ulcer? Let's talk about it

How is acute vulvar ulcer?

Acute vulvar ulcer often occurs in young women. Most of the patients have poor nutritional status or diabetes mellitus and low immune function. The most common sites were medial labia major and labia minor and vestibular mucosa. The size of vulvar ulcers ranged from mm to 1cm to 2cm, and the number of ulcers varied,

Most of the patients' ulcers were round or oval in appearance, sharp and irregular in edge, soft in texture, with gray white purulent secretion on the surface. Some patients' vulva ulcers were large and deep, with gray yellow purulent secretion or gray white pseudomembrane on the surface, edema around the ulcer, central necrosis, which could lead to perforation of the labia minora,

After the ulcer healed, it left scar, which could lead to deformity of labia in severe cases. Some patients had small and superficial vulvar ulcer, but the number was large; Mild performance, conscious severe pain, with mild fever.

matters needing attention

(1) Rest in bed, pay attention to nutrition, keep the local clean, relieve the ideological burden, encourage the cure confidence（ 2) Large amounts of B vitamins or vitamin C are taken orally（ 3) Gangrene patients need systemic use of corticosteroids and antibiotics (penicillin and erythromycin are generally preferred)（ 4) If necessary, human gamma globulin was injected.