Post Date November, 16 2024
Acute vulval ulcer is a gynecological disease, and its occurrence will also have many symptoms. We must pay attention to it after the body has abnormal conditions, and we should also check and diagnose it as soon as possible.
Manifestation of acute vulval ulcer
1. Non-specific vulvitis: the condition is relatively mild, which usually occurs after scratching. The ulcer is superficial, but the pain is obvious.
2. Venereal diseases: many venereal diseases have vulvar ulcers in the course of pathological changes. We will discuss genital herpes, soft prickly heat, venereal lymphogranuloma and syphilis in detail.
3. Behcet's disease: also known as eye-mouth-genital syndrome. Acute vulvar ulcers often occur during the course of the disease. The good site of the disease is the inner side of the labia minora and 1/2 of the vaginal vestibule in the labia major. The clinical manifestations are
① Corrosive type: the most serious clinical symptoms. There are fever, fatigue and other systemic symptoms before the ulcer occurs. The lesion site is obviously red and swollen, the number of ulcers is small, the appearance is as deep as a chisel, and the edge is irregular. There is a lot of pus attached to the ulcer surface, or there is a dirty yellow or gray-black pseudomembrane attached to it. The foundation of removing the pseudomembrane is uneven. The disease develops rapidly, sometimes causing silkworm erosion defects of large tissues. The appearance looks like vulvar cancer, but its edge and base are soft. The patient's pain is very serious.
② Chancre type: this type is more common. The disease develops slowly, and there is no obvious systemic symptoms before the onset. The number of ulcers is large, the surface is shallow, but the area is large, the surrounding area is red and swollen, the edge is irregular, and there may be perforation. The patients with pus coating on the ulcer surface have mild symptoms. The ulcer will heal within a few weeks, but new ulcers may appear nearby.
③ Miliary type: this type of ulcer has a large number of ulcers, but the focus is small, like needle tip to the size of millet, the symptoms are very light, and the recovery is fast.
Examination of acute vulval ulcer
The secretion smear of the ulcer was easily detected by the microscopic examination after gram staining, and some patients had low cellular immune function such as gonorrhea.
The pathological changes of all types of tissues are basically the same. There are tissue defects at the ulcer, reaching to the dermis and even to the subcutaneous. The tissue at the defect is highly necrotic, and there are a large number of neutrophils and a small number of plasma cells and lymphocytes infiltrating. Collagen fibers around the ulcer are arranged in disorder. Gram-positive coarse and fine bacilli can be seen between necrotic tissues by gram staining.
Identification of acute female negative ulcer
