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患者女,20岁,农民,未婚。1990年4月9日以阴唇长疙瘩4年来诊。患者于4年前月经初潮后小阴唇起栗粒大丘疹,逐年增多,有时痒,时轻时重,经常用手搔抓,未曾治疗。一个月前与未婚夫发生性关系,近一个月痒感加重,白带增多。既往健康。家族中无类似疾患。体检:系统检查无异常。皮肤科检查:双小阴唇内侧中外缘粘膜见孤立存在稍高起黄白色针尖至小米粒大丘疹,境界清楚,外形不规则,皮疹相互融合。将粘膜拉紧时,皮疹更为明显(见彩照7)。双小阴唇
Female patient, 20 years old, farmer, unmarried. April 9, 1990 to the labia long lump 4 years consultation. Patients 4 years ago after menstruation menarche chestnut large labile rash, increasing year by year, sometimes itchy, when light weight, often hand scratched, untreated. A month ago with her fiancé had a sexual relationship, itching increased in the past month, vaginal discharge increased. Past health. No similar disease in the family. Physical examination: No abnormality in system examination. Dermatology examination: the medial and lateral margin of the double labia minora seen in the presence of mucosa isolated slightly higher yellow-white tip to the small papules papules, the realm of clear, irregular shape, skin rash fusion. The mucous membrane tension, the rash is more obvious (see Color Photography 7). Double labia minora