Vulvar leukoplakia and tinea versicolor are different in terms of pathogenesis, disease manifestation and treatment, and need to be analyzed specifically. 1. Causes: Vulvar leukoplakia is caused by insufficient nutrition of the vulva and lack of estrogen, while ringworm of the vulva is caused by fungal infection. 2. Disease manifestation: Vulvar leukoplakia is usually manifested as hypo-pigmentation of the vulva, or even atrophy of the local tissues, while tinea versicolor is manifested as roughness of the local area, reddish in color, and may be accompanied by flaking and so on. 3. Treatment: Vulvar leukoplakia is usually treated by applying estrogen externally, while tinea versicolor is usually treated with antifungal drugs such as fluconazole. If there are flakes or white spots on the vulva, and it is impossible to recognize whether it is tinea versicolor or leukoplakia, you need to go to the hospital in time to get a clear picture of the cause of the disease and carry out the targeted treatment, and don’t use medicines without authorization.