Department of Dermatology, Oregon Health & Science University, 3303 Southwest Bond Avenue, CH16D, Portland, OR 97239, USA.
Program in Vulvar Health, Division of General Obstetrics & Gynecology, Oregon Health & Science University, 3181 Southwest Sam Jackson Park Road, UHN 50, Portland, OR 97239, USA.
Obstet Gynecol Clin North Am. 2017 Sep;44(3):353-370. doi: 10.1016/j.ogc.2017.05.002.
Red patches and plaques of the vulva may be manifestations of neoplasms, infections, or inflammatory skin diseases. These diseases can mimic one another clinically; features that generally allow the diseases to be identified on most cutaneous surfaces can be altered in the moist, occluded vulvar environment, making clinical diagnosis difficult. A detailed history and thorough physical examination can point to the likely diagnosis, but biopsy and culture may be needed for diagnosis especially in refractory disease. It is not uncommon for several of these processes to be present concomitantly or complicating other vulvar diseases.
外阴的红斑和斑块可能是肿瘤、感染或炎症性皮肤病的表现。这些疾病在临床上可能相互模仿；在潮湿、封闭的外阴环境中，通常可以在外周皮肤表面识别出的特征会发生改变，从而使临床诊断变得困难。详细的病史和彻底的体格检查可以指向可能的诊断，但活检和培养可能是必要的，特别是在难治性疾病中。同时存在几种这些过程或使其他外阴疾病复杂化并不罕见。
