*ProPath Dermatopathology, Dallas, TX †Departments of Pathology and Dermatology, Duke University Medical Center, Durham, NC.
Adv Anat Pathol. 2017 Sep;24(5):278-293. doi: 10.1097/PAP.0000000000000160.
Inflammatory processes affecting the vulva may present a unique challenge due to location specific changes. Different factors are behind the intricacy in the presentation of vulvar dermatoses. First, the vulva is lined by different epithelia (hair-bearing keratinized epithelium, modified mucosa, and mucosa). Furthermore, among other factors, this organ is exposed to friction, occlusion, and trauma. Lastly, as there is a tendency to look for health care advice at an advanced stage of the disease, the lesion may be modified by secondary changes due to self-treatment. This article describes the clinical presentation and pathologic features of vulvar dermatoses with a lichenoid pattern and highlights practical points for their diagnoses.
由于位置特异性改变，影响外阴的炎症过程可能会带来独特的挑战。外阴皮肤病表现复杂的原因有很多。首先，外阴由不同的上皮组织（有毛的角化上皮、黏膜和黏膜的改变）组成。此外，除其他因素外，该器官易受到摩擦、闭塞和创伤。最后，由于人们倾向于在疾病的晚期寻求医疗保健建议，因此病变可能由于自我治疗而出现继发性改变。本文描述了具有苔藓样模式的外阴皮肤病的临床表现和病理特征，并强调了其诊断的实用要点。
