Novick N L
J Am Acad Dermatol. 1985 Mar;12(3):561-3. doi: 10.1016/s0190-9622(85)70078-3.
A healthy 25-year-old white woman presented with a 2-year history of vaginal pruritus, burning, and dyspareunia. Numerous grayish purple macular and papular lesions, ranging in size from 0.5 to 2.0 mm, were observed on both labia majora. Some were centrally eroded. Biopsy confirmed the diagnosis of angiokeratoma. All lesions were electrocauterized, with the patient under local anesthesia. No new lesions appeared during a 6-month follow-up period, and the patient remained asymptomatic. Vulval angiokeratomas probably occur more commonly than the literature suggests. Occasionally they may be confused with other lesions. Since they are easily treatable, clinicians should be alert for their presence when diagnosing pruritic, painful, or bleeding lesions of the vulvovaginal region.
一名健康的25岁白人女性，有2年的阴道瘙痒、灼痛和性交困难病史。在双侧大阴唇观察到许多灰紫色斑疹和丘疹病变，大小从0.5到2.0毫米不等。有些病变中央有糜烂。活检确诊为血管角化瘤。在局部麻醉下，对所有病变进行了电灼治疗。在6个月的随访期内未出现新的病变，患者仍无症状。外阴血管角化瘤的实际发生率可能比文献报道的更高。偶尔它们可能会与其他病变混淆。由于它们易于治疗，临床医生在诊断外阴阴道区域的瘙痒、疼痛或出血性病变时应警惕其存在。
