Boys' genital eczema

Nowadays, many people do not take good care of their personal sexual hygiene, which can easily lead to symptoms of genital eczema. The earlier this disease is treated, the better the effect. Treatment in the late stage may affect life safety. Genital eczema in boys can cause local pain and itching of the penis, accompanied by papules on the skin, and in severe cases, it can also be accompanied by bleeding and foul odor. Patients should understand the symptoms of genital eczema.

After the human body is infected with human papillomavirus, the disease will occur after an incubation period of half a month to eight months, with an average of three months. Since genital warts are often painless and itchy at first and the rash is not obvious, most patients are generally asymptomatic. If genital warts can be detected and treated early, they will not be a big problem. If the wart is not large, you can directly remove it by physical methods. If the warts are discovered too late or not treated in time, causing them to grow larger or develop extensively, multiple treatments are usually required to completely remove the warts.

Clinical manifestations

This disease often has no subjective symptoms, and some patients may experience local pain or itching. The basic lesions initially appear as small, light red bumps of varying sizes, distributed singly or in clusters, moist and soft, with nipple-like, cockscomb-shaped or cauliflower-like protrusions, red or dirty gray, often with pedicles at the roots, and are prone to erosion and exudation, and are easily bleeding when touched. Purulent secretions often accumulate in the cracks of skin lesions, causing a foul odor, and secondary infection is often caused by scratching. Due to constant exposure to local moisture and chronic irritation, they tend to grow rapidly. This disease often has no subjective symptoms, and some patients may experience local pain or itching. Occasionally it may transform into squamous cell carcinoma.

The most common sites of this disease are the coronal sulcus, glans penis, foreskin, frenulum of foreskin, urethral orifice, urethra, penis body and root, perineum, around and inside the anus (rectum), and groin.

The incubation period of genital warts in men is 3 weeks to 8 months, with an average of 3 months. It is more common in sexually active young and middle-aged men, with the peak age of onset being 20 to 25 years old. Male patients with a disease course of 3 to 5 months will develop the disease shortly after sexual contact; while male patients with an average disease course of 12 months may not develop the disease in their sexual contacts. Subclinical infection refers to lesions that cannot be identified by the naked eye clinically, but when 3% to 5% acetic acid solution is applied topically or applied wet for 5 to 10 minutes, the human papillomavirus (HPV) infected area can be seen to turn white, the so-called "acetic acid whitening phenomenon."

diagnosis

1. Typical skin lesions are papules in moist areas such as the genitals or perianal area, as well as nipple-like, cauliflower-like or cockscomb-like fleshy growths with a rough, keratinized surface.

2. The acetic acid white test is positive, and in vivo examination shows a similar erosion pattern, which is bright red to brown in the middle and gradually fades in color around it.

3. Nucleic acid hybridization can detect HPV-DNA related sequences, and polymerase chain reaction (PCR) detection can reveal specific HPV-DNA amplification bands.

4. Histochemical examination: Take a small amount of diseased tissue to make a smear and stain it with specific anti-human papillomavirus antibodies. If there are viral antigens in the lesions, the antigens and antibodies will combine. In the peroxidase antiperoxidase (PAP) method, nuclei can be stained red. This method is highly specific and rapid, and is helpful for diagnosis.

5. Most patients have a history of unclean sexual life or a history of infection in their spouse. A few cases of genital warts are infected through contact with contaminated utensils, and newborns can also be infected through the birth canal. The incubation period ranges from 1 to 8 months, with an average of 3 months.

6. Genital warts HPV virus is insoluble in blood, but information about virus infection can be obtained by testing serum antibodies in the blood. Through the advanced virus detection system, serum can be quickly tested to detect three items, namely viral antibodies, virus type, and virus quantity.