Are all the vestibular bulbs granular?

The vestibule is an important part of our body. Recently, I heard someone say that the vestibule is in a granular state. Relevant personnel said that if this happens, it is strongly recommended to go directly to the relevant department of the hospital for examination. If this phenomenon is a disease called pseudo-condyloma, then it is not a big deal. If it is another situation, it should be treated as soon as possible. Why is the granular vestibule related to pseudocondyloma acuminatum?

Pseudo-condyloma acuminatum, that is, pseudo-condyloma acuminatum, should be diagnosed with caution. This disease is a benign papilloma, which is not a sexually transmitted disease and is not contagious. It is caused by a large number of 1-2 mm smooth papules on the inner side of the labia minora in women aged 20 to 30, which are clustered but not fused with each other.

Pseudo-condyloma acuminatum resembles caviar or small polyps and sometimes itches. It may be caused by physiological variation or vaginal Candida albicans which causes increased leucorrhea and stimulation.

Pseudo-condyloma acuminatum is a disease whose cause is still unknown. Its clinical features and tissue pathology are easily confused with condyloma acuminatum. Therefore, it is easy to misdiagnose clinically.

①Color:

The appearance of pseudo-condyloma acuminatum was light red (mucosal color) in 67 cases and light brown in 13 cases.

②Size:

Pseudo-condyloma acuminatum is 1 to 2 mm in diameter.

③ Movement:

There were 66 cases of pseudo-condyloma acuminatum that were roe-like, 7 cases that were villous, 2 cases that were polyp-like, 3 cases that were papular, 1 case that was lichen-like, and 1 case that was filiform.

④ Location:

There were 46 cases of pseudo-condyloma acuminatum on the inner side of the labia minora, 32 cases on the vaginal vestibule, and 2 cases on one side of the labia minora.

The cause of female pseudocondyloma acuminatum (villous labia minora) may be physiological abnormalities, or it may be related to other infections, such as Candida infection, urinary tract infection, and long-term stimulation of vaginal secretions. The main symptoms of pseudo-condyloma acuminatum are vulvar itching, excessive vaginal discharge, and skin lesions limited to the labia minora. The lesions are small millet-sized papules that are mucosal-colored or light red, with a smooth surface like caviar. They are distributed in clusters and are more common in the vulva of women aged 20 to 30, especially on the inner side of the labia minora and the vestibule of the vagina. Some parts of pseudocondyloma acuminatum undergo villous changes. The acetic acid white test was negative and the toluidine blue test was negative. Histopathology of 42 cases showed large vacuolated cells in the mucosal epithelium. However, the size, morphology, cell polarity and staining of these cells were normal. The cytoplasmic vacuoles were round and regular, but no diagnostic vacuolated cells were seen. PCR detection of human papillomavirus in 20 cases was negative. This shows that pseudo-condyloma acuminatum has nothing to do with human papillomavirus. When treating this disease, the main focus should be on treating other infections. If there is candidal vaginitis, Trichomonas vaginitis or urinary tract infection, it should be treated first, and prevention should be strengthened to avoid infection with such diseases. If there is no infection, there will be no symptoms of vulvar itching, and the skin lesions of female pseudo-condyloma acuminatum will gradually decrease. Therefore, from a medical point of view, no special treatment is required for skin lesions caused by pseudo-condyloma acuminatum in women.

Pseudo-condyloma acuminatum has no impact on health, and the rash develops self-limited, so generally no treatment is required.