Description, Causes and Risk Factors:
Atrophy and shrinkage of the epithelium of the vagina and vulva, often accompanied by a chronic inflammatory reaction in the deeper tissues; an outmoded term for lichen sclerosus et atrophicus of the vulva.
Breisky disease is an inflammatory disorder that causes genital wasting, widely known as lichen sclerosis. It is usually characterized by a swelling and then atrophy of a post-menopausal woman's vulval region — from the anus to clitoris and everything in between. This disorder has also struck the genitals of some elderly men and even younger women whose bodies can be adversely affected by oral contraceptives. The result for many women can be an overall shrinking of the vaginal opening and raw, itchy skin all over the genitals.
One of the Breisky disease that attack skin cells and the underlying mucous membranes, Breisky disease attacks the vulval region. This region is the perineum between the anus and vagina, the labia minora and majora as well as the clitoris. Growths first appear as small, white speckles that eventually cluster to form larger shiny-skinned growths, which eventually become wrinkly and dry. Then the vulva swells and begins to atrophy, resulting in tearing, bruising and eventual scarring.
Though the most common symptom of Breisky disease is itchy, painful skin, blistering and bloody discharge also may occur. According to the National Institutes of Health (NIH), the body's immune response should contain and destroy the growths. The condition is not contagious, but if it occurs in the genitals immediate medical attention is urged. If appearing under the foreskin of uncircumcised males, circumcision is frequently recommended. Removal of the growths, however, has only resulted in almost immediate recurrence.
Most patients suffering from Breisky disease are post-menopausal women. For this reason, hormonal deficiencies in concert with some form of immunodeficiency is suspected as the cause. Genetic inheritance has played a role in just 22 percent of patients, according to Medscape online (a Research Center).
The disease is usually asymptomatic or slightly itchy. The disease process is usually restricted to the true mucous membraneof the vulval region. In the initial stage, there is edema and redness, accompanied by skin pigmentation. With the progression of atrophy and sclerosis, there is a flattening of the features. The clitoris, labia minora, and frenum disappear, the labia majora becomes flattened. The mucous membrane appears to be reddish or waxy white, dry smooth and shining. The vaginal orifice become stenosed.
Your healthcare provider will ask about your symptoms and examine your genital area. Your provider may do a biopsy. If you have a biopsy, your provider will numb the area and take a small sample of skin. The sample will then be viewed in a lab with a microscope.
Breisky disease is typically treated with a prescription-strength cortisone cream. This stops itching to promote healing for the short term, and contains the growths to stem remission for the long term. Certain factors like low estrogen levels or an infection, however, could hinder the cortisone's effectiveness. In some cases, doctors prescribe other drugs like retinoids or tacrolimus ointment. In the upper body, a process of ultraviolet light application has proven effective, which can be done on genital skin as well.See also: Vaginal vault prolapse.
NOTE: The above information is educational purpose. The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition.
DISCLAIMER: This information should not substitute for seeking responsible, professional medical care.
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