Vulvar long granular things may be vulvar localized folliculitis, allergy and vulvar warts and other diseases, can follow the doctor’s instructions to use 1:5000 potassium permanganate solution, anti-infection drugs, etc. for treatment. 1. Localized folliculitis of the vulva: Mostly due to the lack of local hygiene or local airlessness, resulting in localized follicular infection of the vulva, manifested as pimples. It can be washed with 1:5000 potassium permanganate solution as prescribed by the doctor. It is necessary to distinguish the type of infection and treat it with antibiotics and antifungal drugs. In addition, it is recommended to wear breathable underwear and pay attention to local hygiene. 2. Allergy: allergy can be caused by the patient’s sensitivity to the material of underwear, resulting in vulvar rash. This kind of patients can follow the doctor’s advice to use tacrolimus ointment, Dinaid cream and so on for vulvar smear, oral medication can choose loratadine tablets, cetirizine hydrochloride tablets and other drugs. 3. Vulvar warts: Vulvar warts can be caused by human papillomavirus infection. You can apply antiviral drugs externally or choose physical therapy. There are many causes of vulvar long granular, it is recommended that such patients go to the regular hospital, cooperate with the doctor to complete the relevant examination, to clarify the cause, and actively deal with.