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18岁的女孩,因外阴左侧痛性硬块一月就诊。无有关症状。病人描述在肛门生殖器部位自出生后,有一无色素区,但一般无原发病损或疾病,病人从未有任何性关系。 检查显示在肛门生殖器周围,皮肤有硬化性苔癣样,此区内左后上大阴唇有2×1公分隆起之溃疡。鼠蹊部无明显之淋巴结肿大,肛门指征无异常。 最初认为病变为感染性,并作拭子培养,也做了标准血清梅素,行门诊活检送染色及组
18-year-old girl, due to left genital pain lump treatment in January. No related symptoms. Patient description There is a non-pigmented area in the anal genital area since birth, but there is generally no primary lesion or disease and the patient has never had any sexual relationship. Examination showed that in the vicinity of the anogenital, scleroderma vulgaris skin-like, left and right upper labia majora in this area there are 2 × 1 cm raised ulcers. Groin no significant lymph node enlargement, anus indicating no abnormalities. Initially that the lesion was infectious, and for swab culture, also made a standard serum melanin, line out biopsy and staining