Vulvar Leukoplakia

Vulvar leukoplakia is a chronic dystrophic condition characterized by whitish plaques or hyperkeratotic patches on the vulvar skin and mucosa. These lesions are frequently thickened and cause severe itching (pruritus), burning, or pain. Etiological factors include hormonal deficiencies, autoimmune processes, and chronic tissue irritation.

Symptoms and Diagnosis

Key Symptoms:
· Whitish hyperkeratotic plaques on the vulva
· Persistent pruritus or burning sensation
· Fissures, rhagades, or localized ulcerations

Diagnosis is confirmed via colposcopic evaluation of the vulva (vulvoscopy) and targeted punch biopsy to definitively rule out dysplasia or malignancy.

Prevention and Long-term Care

Preventive strategies emphasize gentle skin hygiene, avoidance of chemical irritants, emollient therapy, and routine gynecological surveillance.