3, infectious molluscum: If you see a hemispherical papule around or outside the anus, there is an umbilical fossa in the center, the surface has a waxy luster, and a cheese-like substance can be squeezed out at the top, which should be considered as infectious molluscum. Infectious molluscum is a benign self-limiting skin disease caused by molluscum virus infection. In recent years, the incidence rate has increased significantly, and the incidence rate of vulva and anal skin has increased among adult sexually active people. It is common to misdiagnose molluscum contagiosum as condyloma acuminatum in STD clinics. 4. Female pseudo condyloma: Also known as vulvar papillomatosis, villous labia minora and hairy papilloma of vulva. Most of them occur in women aged 20-30. The main symptoms are pruritus vulvae and leucorrhea. Skin lesions are smooth fish-egg papules clustered in normal mucosa color or pink, which are not fused with each other, symmetrically distributed and of the same size. A few are papillary and villous protrusions, which feel like sand and are densely distributed in sheets or strips on the inner side of labia minora. The 5% acetic acid test was negative.