{"id":7939,"date":"2020-04-26T11:55:32","date_gmt":"2020-04-26T14:55:32","guid":{"rendered":"https:\/\/doctorhoogstra.com\/es\/diagnostico-diferencial-de-ulceras-vulvares\/"},"modified":"2020-10-30T07:36:44","modified_gmt":"2020-10-30T10:36:44","slug":"diagnostico-diferencial-de-ulceras-vulvares","status":"publish","type":"wiki","link":"https:\/\/doctorhoogstra.com\/pt\/wiki\/diagnostico-diferencial-de-ulceras-vulvares\/","title":{"rendered":"Diagn\u00f3stico diferencial de \u00falceras vulvar"},"content":{"rendered":"<p><\/p><div id=\"ez-toc-container\" class=\"ez-toc-v2_0_87_1 counter-hierarchy ez-toc-counter ez-toc-grey ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">Conte\u00fado<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Alternar tabela de conte\u00fado\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Alternar<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #999;color:#999\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewbox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #999;color:#999\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewbox=\"0 0 24 24\" version=\"1.2\" baseprofile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 eztoc-toggle-hide-by-default' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/doctorhoogstra.com\/pt\/wiki\/diagnostico-diferencial-de-ulceras-vulvares\/#Que-son-vulvares-ulceras\" >O que s\u00e3o \u00falceras vulvares?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/doctorhoogstra.com\/pt\/wiki\/diagnostico-diferencial-de-ulceras-vulvares\/#%C2%BFQuien-contrae-ulceras-vulvares\" >Quem tem \u00falceras vulvares?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/doctorhoogstra.com\/pt\/wiki\/diagnostico-diferencial-de-ulceras-vulvares\/#%C2%BFQue-causa-las-ulceras-vulvares\" >O que causa \u00falceras vulvares?<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/doctorhoogstra.com\/pt\/wiki\/diagnostico-diferencial-de-ulceras-vulvares\/#Causas-infecciosas-de-ulceras-vulvares\" >Causas infecciosas de \u00falceras vulvares<\/a><ul class='ez-toc-list-level-4' ><li class='ez-toc-heading-level-4'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/doctorhoogstra.com\/pt\/wiki\/diagnostico-diferencial-de-ulceras-vulvares\/#Infecciones-de-transmision-sexual\" >Infec\u00e7\u00f5es sexualmente transmiss\u00edveis<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-4'><a class=\"ez-toc-link ez-toc-heading-6\" href=\"https:\/\/doctorhoogstra.com\/pt\/wiki\/diagnostico-diferencial-de-ulceras-vulvares\/#Infecciones-de-transmision-no-sexual\" >Infec\u00e7\u00f5es n\u00e3o sexualmente transmiss\u00edveis<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-7\" href=\"https:\/\/doctorhoogstra.com\/pt\/wiki\/diagnostico-diferencial-de-ulceras-vulvares\/#Causas-no-infecciosas-de-ulceras-vulvares\" >Causas n\u00e3o infecciosas de \u00falceras vulvares<\/a><ul class='ez-toc-list-level-4' ><li class='ez-toc-heading-level-4'><a class=\"ez-toc-link ez-toc-heading-8\" href=\"https:\/\/doctorhoogstra.com\/pt\/wiki\/diagnostico-diferencial-de-ulceras-vulvares\/#Aftosis-vulvar\" >Aftose vulvar<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-4'><a class=\"ez-toc-link ez-toc-heading-9\" href=\"https:\/\/doctorhoogstra.com\/pt\/wiki\/diagnostico-diferencial-de-ulceras-vulvares\/#Enfermedades-inflamatorias\" >doen\u00e7as inflamat\u00f3rias<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-4'><a class=\"ez-toc-link ez-toc-heading-10\" href=\"https:\/\/doctorhoogstra.com\/pt\/wiki\/diagnostico-diferencial-de-ulceras-vulvares\/#Enfermedades-ampollas\" >Doen\u00e7as com bolhas<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-4'><a class=\"ez-toc-link ez-toc-heading-11\" href=\"https:\/\/doctorhoogstra.com\/pt\/wiki\/diagnostico-diferencial-de-ulceras-vulvares\/#Malignidad\" >Malignidade<\/a><\/li><\/ul><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-12\" href=\"https:\/\/doctorhoogstra.com\/pt\/wiki\/diagnostico-diferencial-de-ulceras-vulvares\/#%C2%BFCuales-son-las-caracteristicas-clinicas-de-las-ulceras-vulvares\" >Quais s\u00e3o as caracter\u00edsticas cl\u00ednicas das \u00falceras vulvares?<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-13\" href=\"https:\/\/doctorhoogstra.com\/pt\/wiki\/diagnostico-diferencial-de-ulceras-vulvares\/#Virus-del-herpes-simple\" >v\u00edrus herpes simples<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-14\" href=\"https:\/\/doctorhoogstra.com\/pt\/wiki\/diagnostico-diferencial-de-ulceras-vulvares\/#Chancroide\" >Cancr\u00f3ide<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-15\" href=\"https:\/\/doctorhoogstra.com\/pt\/wiki\/diagnostico-diferencial-de-ulceras-vulvares\/#Chancro-primario-de-sifilis\" >Cancro prim\u00e1rio de s\u00edfilis<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-16\" href=\"https:\/\/doctorhoogstra.com\/pt\/wiki\/diagnostico-diferencial-de-ulceras-vulvares\/#Linfogranuloma-venereo\" >Linfogranuloma ven\u00e9reo<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-17\" href=\"https:\/\/doctorhoogstra.com\/pt\/wiki\/diagnostico-diferencial-de-ulceras-vulvares\/#Granuloma-inguinal\" >Granuloma inguinal<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-18\" href=\"https:\/\/doctorhoogstra.com\/pt\/wiki\/diagnostico-diferencial-de-ulceras-vulvares\/#Aftosis\" >Aftose<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-19\" href=\"https:\/\/doctorhoogstra.com\/pt\/wiki\/diagnostico-diferencial-de-ulceras-vulvares\/#enfermedad-de-Crohn\" >Doen\u00e7a de Crohn<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-20\" href=\"https:\/\/doctorhoogstra.com\/pt\/wiki\/diagnostico-diferencial-de-ulceras-vulvares\/#Pioderma-gangrenoso\" >Pioderma gangrenoso<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-21\" href=\"https:\/\/doctorhoogstra.com\/pt\/wiki\/diagnostico-diferencial-de-ulceras-vulvares\/#Hidradenitis-supurativa\" >Hidradenite supurativa<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-22\" href=\"https:\/\/doctorhoogstra.com\/pt\/wiki\/diagnostico-diferencial-de-ulceras-vulvares\/#Carcinoma-de-celulas-escamosas\" >Carcinoma de c\u00e9lulas escamosas<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-23\" href=\"https:\/\/doctorhoogstra.com\/pt\/wiki\/diagnostico-diferencial-de-ulceras-vulvares\/#%C2%BFComo-se-diagnostican-las-ulceras-vulvares\" >Como as \u00falceras vulvares s\u00e3o diagnosticadas?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-24\" href=\"https:\/\/doctorhoogstra.com\/pt\/wiki\/diagnostico-diferencial-de-ulceras-vulvares\/#%C2%BFCual-es-el-tratamiento-para-la-ulceracion-vulvar\" >Qual \u00e9 o tratamento para ulcera\u00e7\u00e3o vulvar?<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-25\" href=\"https:\/\/doctorhoogstra.com\/pt\/wiki\/diagnostico-diferencial-de-ulceras-vulvares\/#Medidas-generales\" >Medidas gerais<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-26\" href=\"https:\/\/doctorhoogstra.com\/pt\/wiki\/diagnostico-diferencial-de-ulceras-vulvares\/#Tratamiento-especifico\" >Tratamento espec\u00edfico<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-27\" href=\"https:\/\/doctorhoogstra.com\/pt\/wiki\/diagnostico-diferencial-de-ulceras-vulvares\/#%C2%BFCual-es-el-resultado-de-la-ulceracion-vulvar\" >Qual \u00e9 o resultado da ulcera\u00e7\u00e3o vulvar?<\/a><\/li><\/ul><\/nav><\/div>\n\n<section class=\"textBlock\">\n<h2><span class=\"ez-toc-section\" id=\"Que-son-vulvares-ulceras\"><\/span>O que s\u00e3o vulvares? <span class=\"term\" data-term-id=\"1279\">\u00falceras<\/span>?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>\u00dalceras vulvares (feridas ou <span class=\"term\" data-term-id=\"536\">eros\u00f5es<\/span>) s\u00e3o fissuras na pele ou <span class=\"term\" data-term-id=\"188\">mucosa<\/span> membranas do <span class=\"term\" data-term-id=\"1004\">vulva<\/span> que exp\u00f5em o tecido subjacente. Eles podem causar coceira ou dor. Eles podem produzir um <span class=\"term\" data-term-id=\"840\">baixar<\/span>. Alternativamente, eles podem ser completamente <span class=\"term\" data-term-id=\"731\">assintom\u00e1tico<\/span>.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFQuien-contrae-ulceras-vulvares\"><\/span>Quem tem \u00falceras vulvares?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Qualquer mulher ou menina pode desenvolver \u00falceras vulvares, independentemente da idade, regi\u00e3o, ra\u00e7a, etnia, prefer\u00eancia sexual ou <span class=\"term\" data-term-id=\"721\">Status socioecon\u00f4mico<\/span> (dependendo da causa do <span class=\"term\" data-term-id=\"290\">\u00falcera<\/span>)<\/p>\n<p>O global <span class=\"term\" data-term-id=\"578\">incid\u00eancia<\/span> da \u00falcera genital \u00e9 estimada em mais de 20 milh\u00f5es de casos por ano.<\/p>\n<div id=\"square-placement-country-holder\" class=\"country-dependent advert\">\n<div class=\"box-placement square-placement\">\n<div class=\"advert__frame\">\n<div id=\"dermnet-dermnet-mobbox\">\n<\/div><\/div><\/div><\/div>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFQue-causa-las-ulceras-vulvares\"><\/span>O que causa \u00falceras vulvares?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>As \u00falceras vulvares s\u00e3o o resultado da morte do tecido devido a <span class=\"term\" data-term-id=\"489\">focal<\/span> <span class=\"term\" data-term-id=\"148\">inflama\u00e7\u00e3o<\/span>. Eles podem ser causados \u200b\u200bpor causas infecciosas ou n\u00e3o infecciosas.<\/p>\n<h3><span class=\"ez-toc-section\" id=\"Causas-infecciosas-de-ulceras-vulvares\"><\/span>Causas infecciosas de \u00falceras vulvares<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>As causas infecciosas de \u00falceras vulvares incluem infec\u00e7\u00f5es sexualmente transmiss\u00edveis (IST) e infec\u00e7\u00f5es n\u00e3o sexualmente transmiss\u00edveis.<\/p>\n<h4><span class=\"ez-toc-section\" id=\"Infecciones-de-transmision-sexual\"><\/span>Infec\u00e7\u00f5es sexualmente transmiss\u00edveis<span class=\"ez-toc-section-end\"><\/span><\/h4>\n<p>As DSTs que podem causar \u00falceras vulvares podem incluir:<\/p>\n<ul>\n<li>\n<p>Herpes genital: causado pelo v\u00edrus herpes simplex (HSV); O HSV 2 \u00e9 mais comum que o HSV I<\/li>\n<li>\n<span class=\"term\" data-term-id=\"949\">Prim\u00e1rio<\/span> s\u00edfilis \u2013 causada por <em>Treponema pallidum<\/em>\n<\/li>\n<li>\n<p>Cancr\u00f3ide \u2013 causado por <em>Haemophilus ducreyi<\/em>\n<\/li>\n<li>\n<p>Linfogranuloma ven\u00e9reo (LGV) \u2013 causado por<em> Chlamydia trachomatis<\/em> sorotipos L1 e L2<\/li>\n<li>\n<span class=\"term\" data-term-id=\"113\">Granuloma<\/span> inguinal (donovanose) \u2013 causada por<em> Klebsiella granulomatis<\/em>.<\/li>\n<\/ul>\n<h4><span class=\"ez-toc-section\" id=\"Infecciones-de-transmision-no-sexual\"><\/span>Infec\u00e7\u00f5es n\u00e3o sexualmente transmiss\u00edveis<span class=\"ez-toc-section-end\"><\/span><\/h4>\n<p>As infec\u00e7\u00f5es virais que podem causar \u00falceras vulvares incluem:<\/p>\n<ul>\n<li>\n<p>Via do herpes simples <span class=\"term\" data-term-id=\"495\">autoinocula\u00e7\u00e3o<\/span>\n<\/li>\n<li>\n<p>V\u00edrus Epstein-Barr (EBV)<\/li>\n<li>\n<p>Citomegalov\u00edrus (CMV)  <\/li>\n<li>\n<p>Catapora ou <a class=\"wpil_keyword_link\" href=\"https:\/\/doctorhoogstra.com\/pt\/wiki\/infeccion-de-herpes\/\" title=\"Herpes zoster\">Herpes zoster<\/a> (cobreiro) \u2013 causado pelo v\u00edrus varicela-zoster (VZV).<\/li>\n<\/ul>\n<p><span class=\"term\" data-term-id=\"937\">Bacteriano<\/span> As infec\u00e7\u00f5es que podem causar \u00falceras vulvares incluem:<\/p>\n<ul>\n<li>Infec\u00e7\u00f5es estreptoc\u00f3cicas do grupo A\n<\/li>\n<li>\n<p>micoplasma <\/li>\n<\/ul>\n<p>O cogumelo mais comum. <span class=\"term\" data-term-id=\"145\">infec\u00e7\u00e3o<\/span> O que pode causar \u00falceras vulvares \u00e9 <span class=\"term\" data-term-id=\"1003\">vulvovaginal<\/span> infec\u00e7\u00e3o por fungos.<\/p>\n<h3><span class=\"ez-toc-section\" id=\"Causas-no-infecciosas-de-ulceras-vulvares\"><\/span>Causas n\u00e3o infecciosas de \u00falceras vulvares<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>Causas n\u00e3o infecciosas de <span class=\"term\" data-term-id=\"1278\">ulcera\u00e7\u00e3o<\/span> da vulva incluem aftose, <span class=\"term\" data-term-id=\"490\">inflamat\u00f3rio<\/span> doen\u00e7as, bolhas e tumores malignos.<\/p>\n<h4><span class=\"ez-toc-section\" id=\"Aftosis-vulvar\"><\/span>Aftose vulvar<span class=\"ez-toc-section-end\"><\/span><\/h4>\n<p>Depois do herpes simples, a aftose ou ulcera\u00e7\u00e3o genital adquirida n\u00e3o sexualmente \u00e9 a segunda causa mais comum de \u00falceras vulvares, com as taxas mais elevadas ocorrendo em caucasianos e adolescentes.<\/p>\n<p>Outros nomes para aftose vulvar incluem \u00falceras aftosas vulvares, \u00falcera de Lipsch\u00fctz, \u00falcera de Mikulicz, \u00falcera de Sutton e ulcus vulvae acutum. A aftose vulvar est\u00e1 comumente associada \u00e0 ulcera\u00e7\u00e3o oral.<\/p>\n<p>As \u00falceras vulvares aftosas podem ser reativas, ap\u00f3s uma infec\u00e7\u00e3o (como a mononucleose infecciosa) ou <span class=\"term\" data-term-id=\"1365\">trauma<\/span> \u2013 ou estar relacionado a um subjacente <span class=\"term\" data-term-id=\"380\">sist\u00eamico<\/span> doen\u00e7as como:<\/p>\n<ul>\n<li>Doen\u00e7a de Crohn<\/li>\n<li>Doen\u00e7a de Beh\u00e7et<\/li>\n<li>\n<p>Enteropatia por gl\u00faten (doen\u00e7a cel\u00edaca)<\/li>\n<li>\n<p>L\u00fapus eritematoso sist\u00eamico  <\/li>\n<li>V\u00edrus da imunodefici\u00eancia humana (<span class=\"term\" data-term-id=\"127\">HIV<\/span>) infec\u00e7\u00e3o<\/li>\n<li>\n<p>Dist\u00farbio mieloproliferativo.<\/li>\n<\/ul>\n<h4><span class=\"ez-toc-section\" id=\"Enfermedades-inflamatorias\"><\/span>doen\u00e7as inflamat\u00f3rias<span class=\"ez-toc-section-end\"><\/span><\/h4>\n<p>Uma variedade de <span class=\"term\" data-term-id=\"691\">autoimune<\/span> doen\u00e7a e <span class=\"term\" data-term-id=\"1251\">autoinflamat\u00f3rio<\/span> As doen\u00e7as podem apresentar ulcera\u00e7\u00e3o vulvar. Esses incluem:<\/p>\n<ul>\n<li>\n<span class=\"term\" data-term-id=\"53\">Dermatite<\/span> \u2013 devido a arranh\u00f5es ou infec\u00e7\u00e3o secund\u00e1ria<\/li>\n<li><span class=\"term\" data-term-id=\"537\">Erosivo<\/span> l\u00edquen plano<\/li>\n<li>L\u00edquen escleroso<\/li>\n<li>\n<p>Droga fixa <span class=\"term\" data-term-id=\"704\">erup\u00e7\u00e3o<\/span> \u2013 mais comumente causada por medicamentos n\u00e3o ester\u00f3ides <span class=\"term\" data-term-id=\"1413\">anti-inflamat\u00f3rio<\/span> drogas (<span class=\"term\" data-term-id=\"635\">AINE<\/span>), paracetamol, sulfonamidas e tetraciclinas\n<\/li>\n<li>Stevens-Johnson <span class=\"term\" data-term-id=\"350\">s\u00edndrome<\/span> (SJS) \/ <span class=\"term\" data-term-id=\"1159\">t\u00f3xico<\/span> <span class=\"term\" data-term-id=\"846\">epid\u00e9rmico<\/span> necr\u00f3lise (NET)<\/li>\n<li>\n<p>Doen\u00e7a de Crohn: geralmente se apresenta com <span class=\"term\" data-term-id=\"321\">linear<\/span> \u00falceras<\/li>\n<li>\n<p>L\u00fapus eritematoso sist\u00eamico\n<\/li>\n<li>Doen\u00e7a de Darier<\/li>\n<li><span class=\"term\" data-term-id=\"1626\">Pioderma<\/span> gangrenoso<\/li>\n<li>\n<p>Hidradenite supurativa.<\/li>\n<\/ul>\n<h4><span class=\"ez-toc-section\" id=\"Enfermedades-ampollas\"><\/span>Doen\u00e7as com bolhas<span class=\"ez-toc-section-end\"><\/span><\/h4>\n<p>As doen\u00e7as de pele com bolhas autoimunes podem apresentar eros\u00f5es e \u00falceras. A vulva raramente \u00e9 o \u00fanico local afetado. <\/p>\n<ul>\n<li>\n<p>O p\u00eanfigo vulgar \u00e9 uma doen\u00e7a erosiva que n\u00e3o deixa cicatrizes. A oral <span class=\"term\" data-term-id=\"189\">membrana mucosa<\/span>, vulva, \u00e2nus e couro cabeludo s\u00e3o locais comuns de envolvimento.<\/li>\n<li>\n<span class=\"term\" data-term-id=\"1485\">membrana mucosa<\/span> penfigoide<span class=\"term\" data-term-id=\"36\">cicatriz<\/span> penfigoide) causas <span class=\"term\" data-term-id=\"319\">cr\u00f4nica<\/span> ulcera\u00e7\u00e3o e cicatrizes. Geralmente afeta mais de um. <span class=\"term\" data-term-id=\"1018\">membrana mucosa<\/span> local que inclui vulva, \u00e2nus, boca, olhos, fossas nasais e tamb\u00e9m pode afetar o couro cabeludo.<\/li>\n<li>\n<span class=\"term\" data-term-id=\"498\">Bolhoso<\/span> penfig\u00f3ide produz tempo <span class=\"term\" data-term-id=\"499\">bullas<\/span> (bolhas cheias de l\u00edquido) na pele normal ou, mais frequentemente, <span class=\"term\" data-term-id=\"492\">eczematoso<\/span> ou <span class=\"term\" data-term-id=\"493\">Urticado<\/span> <span class=\"term\" data-term-id=\"368\">pratos<\/span>. Raramente envolve superf\u00edcies mucosas, mas \u00e9 comum nas dobras do corpo (isto \u00e9, parte posterior dos joelhos, parte interna das axilas, cotovelos e virilha) em pessoas idosas.<\/li>\n<li>\n<span class=\"term\" data-term-id=\"90\">Eritema<\/span> multiforme \u00e9 um <span class=\"term\" data-term-id=\"349\">agudo<\/span> ou <span class=\"term\" data-term-id=\"805\">recorrente<\/span> condi\u00e7\u00e3o reativa O eritema multiforme maior pode causar ulcera\u00e7\u00e3o vulvar muito dolorosa, geralmente associada a ulcera\u00e7\u00e3o oral e les\u00f5es em alvo no <span class=\"term\" data-term-id=\"68\">distal<\/span> extremidades<\/li>\n<\/ul>\n<p><span class=\"term\" data-term-id=\"558\">Gen\u00e9tico<\/span> As doen\u00e7as podem apresentar ulcera\u00e7\u00e3o cr\u00f4nica da vulva e <span class=\"term\" data-term-id=\"1192\">perianal<\/span> pele.<\/p>\n<ul>\n<li>\n<p>A epiderm\u00f3lise bolhosa \u00e9 um grupo de doen\u00e7as que se apresenta com bolhas na inf\u00e2ncia. Os subtipos de epiderm\u00f3lise bolhosa que podem causar \u00falceras vulvares incluem epiderm\u00f3lise bolhosa juncional e epiderm\u00f3lise bolhosa distr\u00f3fica.<\/li>\n<li>\n<span class=\"term\" data-term-id=\"849\">Fam\u00edlia<\/span> <span class=\"term\" data-term-id=\"22\">benigno<\/span> O p\u00eanfigo cr\u00f4nico (doen\u00e7a de Hailey-Hailey) se apresenta no in\u00edcio da vida adulta com doen\u00e7a cr\u00f4nica, <span class=\"term\" data-term-id=\"279\">sim\u00e9trico<\/span> <span class=\"term\" data-term-id=\"173\">macera\u00e7\u00e3o<\/span> e eros\u00f5es da vulva, pele perianal e outras <span class=\"term\" data-term-id=\"970\">flex\u00f5es<\/span>, mesmo sob os seios e pesco\u00e7o.<\/li>\n<\/ul>\n<h4><span class=\"ez-toc-section\" id=\"Malignidad\"><\/span><span class=\"term\" data-term-id=\"1742\">Malignidade<\/span><span class=\"ez-toc-section-end\"><\/span><\/h4>\n<p>Os tumores malignos que podem causar ulcera\u00e7\u00e3o da vulva incluem:<\/p>\n<ul>\n<li><span class=\"term\" data-term-id=\"270\">Escamoso<\/span> c\u00e9lula <span class=\"term\" data-term-id=\"32\">carcinoma<\/span><\/li>\n<li>\n<p>Vulvar intraepitelial <span class=\"term\" data-term-id=\"1263\">neoplasia<\/span> (les\u00f5es intraepiteliais escamosas vulvares).<\/li>\n<\/ul>\n<p>Menos comumente, os seguintes sintomas tamb\u00e9m podem causar ulcera\u00e7\u00e3o da vulva:<\/p>\n<ul>\n<li>Doen\u00e7a de Paget extramam\u00e1ria<\/li>\n<li><span class=\"term\" data-term-id=\"831\">Basal<\/span> carcinoma celular<\/li>\n<li>C\u00e9lula B <span class=\"term\" data-term-id=\"976\">linfoma<\/span><\/li>\n<li><span class=\"term\" data-term-id=\"613\">Leucemia<\/span> <span class=\"term\" data-term-id=\"48\">pele<\/span><\/li>\n<li>\n<p>C\u00e9lula de Langerhans <span class=\"term\" data-term-id=\"1346\">histiocitose<\/span> (histiocitose X).<\/li>\n<\/ul>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFCuales-son-las-caracteristicas-clinicas-de-las-ulceras-vulvares\"><\/span>Quais s\u00e3o as caracter\u00edsticas cl\u00ednicas das \u00falceras vulvares? <span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>As \u00falceras vulvares s\u00e3o frequentemente <span class=\"term\" data-term-id=\"116\">agrupado<\/span> para as seguintes caracter\u00edsticas:<\/p>\n<ul>\n<li>\u00danico ou m\u00faltiplo<\/li>\n<li>Doloroso ou indolor<\/li>\n<li>Evolu\u00e7\u00e3o da \u00falcera (ou seja, aparecimento inicial e progress\u00e3o)<\/li>\n<ul>\n<li>Ulcera\u00e7\u00e3o precedida de secura, <span class=\"term\" data-term-id=\"384\">escalada<\/span>e <span class=\"term\" data-term-id=\"501\">escoria\u00e7\u00f5es<\/span> sugere dermatite\n<\/li>\n<\/ul>\n<li>Frequ\u00eancia dos epis\u00f3dios<\/li>\n<ul>\n<li>\u00dalceras recorrentes podem sugerir HSV, doen\u00e7a de Beh\u00e7et, erup\u00e7\u00e3o medicamentosa fixa\n<\/li>\n<\/ul>\n<li>Sinais ou sintomas associados<\/li>\n<ul>\n<li>\n<span class=\"term\" data-term-id=\"502\">Inguinal<\/span> <span class=\"term\" data-term-id=\"503\">linfadenopatia<\/span> indica uma prov\u00e1vel infec\u00e7\u00e3o<\/li>\n<li>\n<span class=\"term\" data-term-id=\"505\">Uve\u00edte<\/span>, <span class=\"term\" data-term-id=\"1578\">artrite<\/span> e\/ou hist\u00f3ria familiar destes podem sugerir doen\u00e7a de Beh\u00e7et\n<\/li>\n<li>A exposi\u00e7\u00e3o a novos medicamentos pode indicar uma erup\u00e7\u00e3o cut\u00e2nea fixa\n<\/li>\n<li>O envolvimento da mucosa oral ocorre na aftose ou no l\u00edquen plano erosivo.\n<\/li>\n<li>\n<span class=\"term\" data-term-id=\"506\">Dis\u00faria<\/span> pode ser devido \u00e0 localiza\u00e7\u00e3o da \u00falcera ou transmiss\u00e3o sexual <span class=\"term\" data-term-id=\"507\">uretrite<\/span>\n<\/li>\n<li>Os sintomas constitucionais podem ocorrer no herpes simples, na s\u00edfilis secund\u00e1ria, no LGV ou no l\u00fapus eritematoso sist\u00eamico.<\/li>\n<\/ul>\n<\/ul>\n<p>As caracter\u00edsticas t\u00edpicas de v\u00e1rias apresenta\u00e7\u00f5es com ulcera\u00e7\u00e3o vulvar s\u00e3o descritas abaixo.<\/p>\n<h3><span class=\"ez-toc-section\" id=\"Virus-del-herpes-simple\"><\/span>v\u00edrus herpes simples<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<ul>\n<li>Aglomerados de pequenas bolhas. <span class=\"term\" data-term-id=\"386\">Juntar<\/span> e se abre para formar \u00falceras dolorosas (ou coceira) com base vermelha.<\/li>\n<li>As \u00falceras podem aparecer na vulva, colo do \u00fatero, vagina, <span class=\"term\" data-term-id=\"889\">per\u00edneo<\/span>, pernas ou n\u00e1degas.<\/li>\n<li>\n<span class=\"term\" data-term-id=\"1395\">At\u00edpico<\/span>, doen\u00e7a extensa ou de longa dura\u00e7\u00e3o afeta pacientes com imunossupress\u00e3o.<\/li>\n<li>Inguinal grande e sens\u00edvel <span class=\"term\" data-term-id=\"1775\">g\u00e2nglios linf\u00e1ticos<\/span> e &#039;sintomas semelhantes aos da gripe ocorrem com uma infec\u00e7\u00e3o prim\u00e1ria.<\/li>\n<\/ul>\n<h3><span class=\"ez-toc-section\" id=\"Chancroide\"><\/span>Cancr\u00f3ide<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<ul>\n<li>\u00danico ou m\u00faltiplo, <span class=\"term\" data-term-id=\"292\">unilateral<\/span>doloroso <span class=\"term\" data-term-id=\"366\">p\u00e1pulas<\/span> tornar-se <span class=\"term\" data-term-id=\"792\">pustular<\/span> e ulcerar<\/li>\n<li>As \u00falceras apresentam bordas rasgadas irregulares com secre\u00e7\u00e3o cinza ou amarela.<\/li>\n<li>\u00c0 medida que a doen\u00e7a progride, cerca de 50% pacientes desenvolvem linfonodos inguinais sens\u00edveis que podem romper e chorar.<\/li>\n<\/ul>\n<h3><span class=\"ez-toc-section\" id=\"Chancro-primario-de-sifilis\"><\/span>Cancro prim\u00e1rio de s\u00edfilis<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<ul>\n<li>H\u00e1 uma \u00fanica \u00falcera indolor com base limpa e bordas firmes e elevadas.<\/li>\n<li>Freq\u00fcentemente est\u00e1 associado a linfonodos inguinais grandes e n\u00e3o sens\u00edveis.<\/li>\n<\/ul>\n<h3><span class=\"ez-toc-section\" id=\"Linfogranuloma-venereo\"><\/span>Linfogranuloma ven\u00e9reo<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<ul>\n<li>Existe uma \u00falcera \u00fanica, transit\u00f3ria e indolor.<\/li>\n<li>Muitas vezes est\u00e1 associada \u00e0 uretrite e \u00e9 seguida por linfonodos inguinais sens\u00edveis semanas depois.<\/li>\n<\/ul>\n<h3><span class=\"ez-toc-section\" id=\"Granuloma-inguinal\"><\/span>Granuloma inguinal<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<ul>\n<li>Existem simples ou m\u00faltiplos, cr\u00f4nicos, vermelhos, <span class=\"term\" data-term-id=\"1741\">endurecido<\/span>, \u00falceras indolores que sangram facilmente.<\/li>\n<\/ul>\n<h3><span class=\"ez-toc-section\" id=\"Aftosis\"><\/span>Aftose<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<ul>\n<li>Existem \u00falceras agudas intensamente dolorosas, que muitas vezes s\u00e3o <span class=\"term\" data-term-id=\"23\">bilateral<\/span>, com base branco-amarelada e bordas vermelhas.<\/li>\n<li>H\u00e1 incha\u00e7o labial associado, dor intensa e dis\u00faria e, \u00e0s vezes, linfonodos inguinais grandes e sens\u00edveis.<\/li>\n<li>Epis\u00f3dios recorrentes de ulcera\u00e7\u00e3o da mucosa genital e oral associados \u00e0 uve\u00edte sugerem doen\u00e7a de Beh\u00e7et.<\/li>\n<\/ul>\n<h3><span class=\"ez-toc-section\" id=\"enfermedad-de-Crohn\"><\/span>Doen\u00e7a de Crohn<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<ul>\n<li>les\u00f5es inflamat\u00f3rias mistas <span class=\"term\" data-term-id=\"801\">fissuras<\/span>, e s\u00e3o encontradas \u00falceras \u201ccortadas com faca\u201d de gravidade vari\u00e1vel.<\/li>\n<li>\u00dalceras mais profundas podem evoluir para <span class=\"term\" data-term-id=\"509\">f\u00edstulas<\/span>; m\u00e1s com\u00fanmente, en sitios perianales o rectovaginales.<\/li>\n<li>Marcado vulvar indoloro <span class=\"term\" data-term-id=\"201\">edema<\/span> pode acontecer.<\/li>\n<\/ul>\n<h3><span class=\"ez-toc-section\" id=\"Pioderma-gangrenoso\"><\/span>Pioderma gangrenoso<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<ul>\n<li>Un tierno inflamatorio <span class=\"term\" data-term-id=\"251\">p\u00fastula<\/span> evoluciona r\u00e1pidamente en un profundo <span class=\"term\" data-term-id=\"1182\">purulento<\/span> \u00falcera con <span class=\"term\" data-term-id=\"1190\">viol\u00e1ceo<\/span> bordes socavados y posibles lesiones satelitales.<\/li>\n<li>A menudo <span class=\"term\" data-term-id=\"1497\">precipitado<\/span> por una lesi\u00f3n menor en el sitio de la ulceraci\u00f3n.<\/li>\n<\/ul>\n<h3><span class=\"ez-toc-section\" id=\"Hidradenitis-supurativa\"><\/span>Hidradenite supurativa<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<ul>\n<li>Se presenta con <span class=\"term\" data-term-id=\"511\">pseudocistos<\/span>inflamat\u00f3rio <span class=\"term\" data-term-id=\"367\">n\u00f3dulos<\/span>, drenaje de senos y abscesos.<\/li>\n<li>La ulceraci\u00f3n puede estar asociada con <span class=\"term\" data-term-id=\"254\">piog\u00eanico<\/span> n\u00f3dulos similares a granulomas.<\/li>\n<li>La piel en los labios mayores, el pubis, los muslos, las nalgas y debajo de las axilas y los senos puede verse afectada.<\/li>\n<\/ul>\n<h3><span class=\"ez-toc-section\" id=\"Carcinoma-de-celulas-escamosas\"><\/span>Carcinoma de c\u00e9lulas escamosas<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<ul>\n<li>Una ampliaci\u00f3n, rojo irregular, rosa o blanco <span class=\"term\" data-term-id=\"198\">n\u00f3dulo<\/span> ou <span class=\"term\" data-term-id=\"235\">placa de carro<\/span> que tiene una superficie similar a una verruga y \/ o ulcerada.<\/li>\n<li>El carcinoma de c\u00e9lulas escamosas puede surgir dentro de la neoplasia intraepitelial, liquen escleroso, liquen plano erosivo o piel normal.<\/li>\n<\/ul>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFComo-se-diagnostican-las-ulceras-vulvares\"><\/span>Como as \u00falceras vulvares s\u00e3o diagnosticadas?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>El diagn\u00f3stico de ulceraci\u00f3n vulvar implica tomar un historial cuidadoso y realizar un examen f\u00edsico para evaluar el riesgo de ITS, guiar investigaciones apropiadas y determinar la necesidad de terapia emp\u00edrica.<\/p>\n<p>Es importante tener en cuenta que:<\/p>\n<ul>\n<li>M\u00e1s de una causa puede coexistir<\/li>\n<li>Existen diversas presentaciones de la enfermedad, por lo que la apariencia cl\u00ednica por s\u00ed sola puede ser enga\u00f1osa.<\/li>\n<li>Las personas con inmunosupresi\u00f3n pueden tener presentaciones at\u00edpicas.<\/li>\n<\/ul>\n<p>N\u00e3o <span class=\"term\" data-term-id=\"586\">pat\u00f3geno<\/span> se identifica en hasta el 25% de los pacientes; Sin embargo, el objetivo de las investigaciones iniciales generalmente se centra en el diagn\u00f3stico de las ITS. Los pacientes deben, como m\u00ednimo, tener las siguientes investigaciones:<\/p>\n<ul>\n<li>Hisopos virales del genital <span class=\"term\" data-term-id=\"164\">ferimentos<\/span> para HSV <span class=\"term\" data-term-id=\"941\">Rea\u00e7\u00e3o em cadeia da polimerase<\/span> (<span class=\"term\" data-term-id=\"942\">PCR<\/span>)<\/li>\n<li>Sangre por s\u00edfilis <span class=\"term\" data-term-id=\"621\">sorologia<\/span>.<\/li>\n<\/ul>\n<p>Dado que las coinfecciones son comunes y muchas ITS son asintom\u00e1ticas, los pacientes con contacto sexual sin protecci\u00f3n reciente tambi\u00e9n deben someterse a pruebas de ITS no ulcerosas a trav\u00e9s de:<\/p>\n<ul>\n<li>PCR en orina para clamidia y gonorrea\n<\/li>\n<li>Bloods for HIV, y <span class=\"term\" data-term-id=\"1801\">hepatite<\/span> Serolog\u00eda B y C.<\/li>\n<\/ul>\n<p>La ubicaci\u00f3n geogr\u00e1fica de la adquisici\u00f3n de ITS, el historial sexual y de viaje del individuo y el local <span class=\"term\" data-term-id=\"589\">predom\u00ednio<\/span> de chancroide, LGV y granuloma inguinal deben considerarse pruebas previas para estas ITS.<\/p>\n<p>En pacientes con bajo riesgo de ITS o en aquellos que han tenido resultados negativos, dependiendo de la presentaci\u00f3n cl\u00ednica, es razonable considerar:<\/p>\n<ul>\n<li>\n<p>Hisopos bacterianos para tinci\u00f3n de gram y bacterianos y levaduras <span class=\"term\" data-term-id=\"837\">cultura<\/span>\n<\/li>\n<li>\n<p>Hisopos virales para PCR VZV<\/li>\n<li>Sangre para:\n<ul>\n<li>\n<p>HSV (HSV 1 y HSV 2), EBV (<span class=\"term\" data-term-id=\"428\">imunoglobulinas<\/span> M y G) o una prueba de Monospot, CMV y serolog\u00eda de micoplasma<\/li>\n<li>Um hemograma completo <span class=\"term\" data-term-id=\"946\">prote\u00edna C-reativa<\/span>y antinuclear <span class=\"term\" data-term-id=\"425\">anticorpo<\/span> testes<\/li>\n<li>Prueba para<em> <span class=\"term\" data-term-id=\"1245\">HLA<\/span>-B51<\/em> si la enfermedad de Beh\u00e7et es una posibilidad.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>UMA <span class=\"term\" data-term-id=\"24\">bi\u00f3psia<\/span> puede ser necesario si:<\/p>\n<ul>\n<li>Un diagn\u00f3stico no puede ser realizado por<span class=\"term\" data-term-id=\"612\">invasor<\/span> m\u00e9todos<\/li>\n<li>Las \u00falceras no se resuelven despu\u00e9s de la terapia est\u00e1ndar.<\/li>\n<li>Las lesiones son sospechosas de un trastorno subyacente o malignidad.<\/li>\n<\/ul>\n<div id=\"square-placement-country-holder\" class=\"country-dependent advert\">\n<div class=\"box-placement square-placement\">\n<div class=\"advert__frame\">\n<div id=\"dermnet-dermnet-mobbox\">\n<\/div><\/div><\/div><\/div>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFCual-es-el-tratamiento-para-la-ulceracion-vulvar\"><\/span>Qual \u00e9 o tratamento para ulcera\u00e7\u00e3o vulvar?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<h3><span class=\"ez-toc-section\" id=\"Medidas-generales\"><\/span>Medidas gerais<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>Cualquiera sea la causa, los pacientes con \u00falceras vulvares pueden necesitar educaci\u00f3n, tranquilidad y <span class=\"term\" data-term-id=\"902\">sintoma<\/span> alivio.<\/p>\n<p>Las personas afectadas pueden:<\/p>\n<ul>\n<li>Minimizar <span class=\"term\" data-term-id=\"1443\">irritantes<\/span> (sin jabones, duchas, almohadillas, ropa interior apretada o ropa)<\/li>\n<li>Considere usar <span class=\"term\" data-term-id=\"1126\">spray<\/span> biberones o evacuar en un ba\u00f1o para reducir el dolor al orinar<\/li>\n<li>Prueba ba\u00f1os de sal<\/li>\n<li>Aplique compresas fr\u00edas (p. Ej., Una franela empapada en agua fr\u00eda)<\/li>\n<li>Use ung\u00fcentos de barrera suaves (p. Ej., Vaselina, \u00f3xido de zinc)<\/li>\n<li>Aplicar um <span class=\"term\" data-term-id=\"1330\">atual<\/span> <span class=\"term\" data-term-id=\"1206\">anest\u00e9sico<\/span> (p. ej., lignoca\u00edna <span class=\"term\" data-term-id=\"1123\">gel<\/span>, lignoca\u00edna \/ priloca\u00edna <span class=\"term\" data-term-id=\"1121\">creme<\/span>)<\/li>\n<li>Use analg\u00e9sicos orales (paracetamol, AINE) seg\u00fan sea necesario.<\/li>\n<\/ul>\n<p>Los antihistam\u00ednicos orales tambi\u00e9n pueden ser beneficiosos en ciertos casos.<\/p>\n<p>Nota: el dolor intenso y la retenci\u00f3n urinaria pueden requerir hospitalizaci\u00f3n y cateterismo.<\/p>\n<h3><span class=\"ez-toc-section\" id=\"Tratamiento-especifico\"><\/span>Tratamento espec\u00edfico<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>El tratamiento de causas infecciosas puede incluir:<\/p>\n<ul>\n<li>Aciclovir oral, famciclovir o valaciclovir para herpes simple o zoster\n<\/li>\n<li>Penicilina G intramuscular (bencilpenicilina) para la s\u00edfilis primaria\n<\/li>\n<li>Ceftriaxona intramuscular o azitromicina oral, ciprofloxacina o eritromicina para el chancroide\n<\/li>\n<li>Doxiciclina oral para LGV y granuloma inguinal.<\/li>\n<\/ul>\n<p>Nota: el tratamiento emp\u00edrico se inicia cuando ha habido una exposici\u00f3n conocida a una ITS, las \u00falceras genitales son indicativas de HSV, existe un alto riesgo de s\u00edfilis o cuando es probable un seguimiento fallido del tratamiento.<\/p>\n<p>El tratamiento de causas no infecciosas puede incluir:<\/p>\n<ul>\n<li>\n<p>Corticosteroides t\u00f3picos o corticosteroides intralesionales.\n<\/li>\n<li>Corticoster\u00f3ides orais<\/li>\n<li>\n<p>Antibi\u00f3ticos o agentes antif\u00fangicos en casos de infecci\u00f3n secundaria.<\/li>\n<li>\n<span class=\"term\" data-term-id=\"680\">Immunomodulator<\/span> agentes como metotrexato, ciclosporina t\u00f3pica o sist\u00e9mica\n<\/li>\n<li>Referencia a especialistas apropiados (p. Ej., Reumat\u00f3logo, <span class=\"term\" data-term-id=\"54\">dermatologista<\/span>, ginec\u00f3logo, m\u00e9dico de salud sexual, m\u00e9dico de enfermedades infecciosas).<\/li>\n<\/ul>\n<p>Nota: muchas afecciones que involucran ulceraci\u00f3n vulvar requieren un enfoque multidisciplinario.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFCual-es-el-resultado-de-la-ulceracion-vulvar\"><\/span>Qual \u00e9 o resultado da ulcera\u00e7\u00e3o vulvar?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>a <span class=\"term\" data-term-id=\"241\">previs\u00e3o<\/span> de \u00falceras vulvares depende de la causa.<\/p>\n<ul>\n<li>La mayor\u00eda de las ITS se pueden curar r\u00e1pidamente con el tratamiento adecuado.<\/li>\n<li>\n<p>El VHS no se puede curar, pero las recurrencias se pueden controlar con reconocimiento temprano y <span class=\"term\" data-term-id=\"1512\">antiviral<\/span> <span class=\"term\" data-term-id=\"1737\">profilaxia<\/span>. La gravedad y la frecuencia de los episodios pueden disminuir con el tiempo.<\/li>\n<li>\n<p>Las \u00falceras genitales no adquiridas sexualmente generalmente se resuelven por s\u00ed mismas sin dejar cicatrices en 2 a 6 semanas.<\/li>\n<\/ul>\n<p>Si no se trata, las \u00falceras vulvares pueden tener graves consecuencias para la salud, que incluyen:<\/p>\n<ul>\n<li>Mayor riesgo de transmisi\u00f3n del VIH para personas sexualmente activas<\/li>\n<li>Persistente <span class=\"term\" data-term-id=\"1040\">latente<\/span> infecci\u00f3n de s\u00edfilis no tratada, que resulta en transmisi\u00f3n oculta a parejas sexuales y progresi\u00f3n a s\u00edfilis secundaria o terciaria<\/li>\n<li>Riesgo de transmisi\u00f3n de ITS a un feto en el embarazo o a un <span class=\"term\" data-term-id=\"1193\">rec\u00e9m-nascido<\/span> durante el nacimiento<\/li>\n<li>Cicatrizaci\u00f3n, adherencias o destrucci\u00f3n de la arquitectura vulvar en liquen plano erosivo, liquen escleroso, enfermedad de Beh\u00e7et, penfigoide de membrana mucosa (penfigoide cicatricial), p\u00e9nfigo vulgar, eritema multiforme mayor, epiderm\u00f3lisis ampollosa e hidradenitis supurativa\n<\/li>\n<li>Mayor riesgo de malignidad en \u00e1reas afectadas por inflamaci\u00f3n severa, como liquen plano erosivo, liquen escleroso y ocasionalmente hidradenitis supurativa cr\u00f3nica\n<\/li>\n<li>En marcha <span class=\"term\" data-term-id=\"394\">psicossocial<\/span> angustia.<\/li>\n<\/ul>\n<\/section>","protected":false},"excerpt":{"rendered":"<p>Que son vulvares \u00falceras? \u00dalceras vulvares (llagas o erosiones) son roturas en la piel o mucoso membranas de la vulva que exponen el tejido subyacente. Pueden causar picaz\u00f3n o dolor&#8230;.<\/p>","protected":false},"author":8,"featured_media":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","format":"standard","meta":{"footnotes":""},"categories":[204],"tags":[],"class_list":["post-7939","wiki","type-wiki","status-publish","format-standard","category-glosario-definiciones"],"_links":{"self":[{"href":"https:\/\/doctorhoogstra.com\/pt\/wp-json\/wp\/v2\/wiki\/7939","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/doctorhoogstra.com\/pt\/wp-json\/wp\/v2\/wiki"}],"about":[{"href":"https:\/\/doctorhoogstra.com\/pt\/wp-json\/wp\/v2\/types\/wiki"}],"author":[{"embeddable":true,"href":"https:\/\/doctorhoogstra.com\/pt\/wp-json\/wp\/v2\/users\/8"}],"replies":[{"embeddable":true,"href":"https:\/\/doctorhoogstra.com\/pt\/wp-json\/wp\/v2\/comments?post=7939"}],"version-history":[{"count":0,"href":"https:\/\/doctorhoogstra.com\/pt\/wp-json\/wp\/v2\/wiki\/7939\/revisions"}],"wp:attachment":[{"href":"https:\/\/doctorhoogstra.com\/pt\/wp-json\/wp\/v2\/media?parent=7939"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/doctorhoogstra.com\/pt\/wp-json\/wp\/v2\/categories?post=7939"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/doctorhoogstra.com\/pt\/wp-json\/wp\/v2\/tags?post=7939"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}