. American journal of obstetrics and gynecology. after temporary relief by local measures or corpus luteumhas been an added reason for favoring surgical measures in thetreatment of these cases. Gross and Microscopic Pathology.—Although leucoplakic vulvitisis a slowly progressive disease, we can, I believe, distinguish three TAUSSIG: PATHOLOGY OP VULVAR DISEASES 417 stages, mergino; one with the otlier. In the first stage the vulva as-sumes a swollen reddened appearance, at times having a moist surfaceand showing only here and there whitish or pinkish-white areas(Pig. 8). Microscopically at thi
. American journal of obstetrics and gynecology. after temporary relief by local measures or corpus luteumhas been an added reason for favoring surgical measures in thetreatment of these cases. Gross and Microscopic Pathology.—Although leucoplakic vulvitisis a slowly progressive disease, we can, I believe, distinguish three TAUSSIG: PATHOLOGY OP VULVAR DISEASES 417 stages, mergino; one with the otlier. In the first stage the vulva as-sumes a swollen reddened appearance, at times having a moist surfaceand showing only here and there whitish or pinkish-white areas(Pig. 8). Microscopically at this time we find pronounced acanthosiswith slight increase of the keratin layer in the epidermis while inthe connective tissue there is marked round cell infiltration with oc-casional leucocytes especially in the papillary spaces. In the secondstage of the disease, appearing usually not until about one year haselapsed we find a markedly thickened, white skin with stiff edges andoften excoriated from scratching. Microscopically we see pronounced.
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