Figure 2 - available via license: Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International
Content may be subject to copyright.
Dermoscopy under polarized light with DermLiteDL200 Hybrid dermoscope (3Gen) confirmed the presence of profuse and irregular vascular channels in the transparent core of the multiple, cylindrical filiform projections. The bases of the individual projections remain separate
Similar publications
Observation report of Pierre’s Wart Frog Minervarya pierrei frog from Baghmundi village and Ajodhya hills of Purulia, West Bengal, India
Oddajemy w ręce Czytelników książkę związaną z szeroko pojętą problematyką restrukturyzacji i upadłości przedsiębiorstw. To z jednej strony bardzo trudne etapy cyklu życia organizacji, z drugiej – towarzyszące naszej przestrzeni życia gospodarczego nieustannie, więc warte uwagi i głębszego zrozumienia. Tak jak człowiek i jego indywidualne życie sta...
Citations
... A 1990 study by Moyal-Barracco et al. outlined five clinical features to contrast these entities. [6,7,8,9] . We have summarized these findings, together with the findings of our own, to define the dermascopic hallmarks of vestibular papillomata as compared to condyloma accuminata ( Table 2). ...
... These findings were in concordance with the study performed by Kamat et al. and Micali et al. [2][3][4] Although the female counterpart i.e., vestibular papillomatosis revealed finger-like projections correspond to papillary projections, linear vascular structure correlates with the fibrovascular core histologically. Similar findings were seen in the dermoscopy of vestibular papillomatosis by Kamat et al. [3] and Thakare et al. [5] Patients with classic reactive arthritis fulfilling the diagnostic criteria having circinate balanitis showed coalescing pustules in an annular to polycyclic fashion (100%), with regular red dotted vessels (100%), which was in concordance with the findings of Errichetti et al. [6] The dermoscopic features of pustules and dotted vessels correlated with histopathological features such as dense dermal neutrophilic infiltrates and increased upper dermal capillary dilatation, respectively. The correlation was not performed in our study as patients denied for histopathological evaluation. ...
Introduction
Dermoscopy of mucosa is known as mucoscopy. Mucoscopy can aid in delineating minute aspects of mucosal lesions and will guide in the differentiation of similar-looking lesions. To date, there are only a few studies on mucoscopy of genital dermatoses especially from India.
Aim and Objectives
The study aims to describe mucoscopic features and correlate histopathologically in various genital mucosal diseases.
Materials and Methods
The study was conducted in a tertiary care center in Central India after IHEC approval between October 2020 and April 2022, and the sampling technique was based on a convenience purposive method. Any genital mucosal diseases were included in patients above 18 years of age. Sexually transmitted diseases in general were excluded, however, warts and molluscum contagiosum were included. All patients fulfilling the inclusion criteria were examined after proper informed consent, and the clinical images were photographed using iPhone 11. Dermoscopic images were taken using a DermLite DL4 dermoscope in polarized mode at 10X magnification.
Results
A total of 206 patients were recruited, and mucoscopy features were analyzed. Dermoscopic findings of physiological conditions such as vestibular papillomatosis, pearly penile papules, and Fordyce spots were evaluated. Inflammatory conditions such as lichen planus, pemphigus, and psoriasis were analyzed. Mucoscopy of lichen sclerosus showed white structureless areas (100%), follicular plugs (35%), as well as dotted and linear vessels (80%). Circinate balanitis revealed regular red dotted vessels (100%), coalescing pustules in annular and polycyclic patterns (90%). Squamous cell carcinoma of the penis showed ulceration, serpentine, looped vessels, white structureless area, and yellow-brown crust in a pink background.
Limitations
In our study, because of the inclusion of various diseases, sample size was inadequate, biopsies were not performed in all cases, and variations in mucoscopic features in patients who are already on therapy could not be assessed. Haziness while capturing pictures because of mist formation was hindering the quality of pictures. As patients with premalignant and malignant cases were less, the predicting features for malignant transformation or pathognomoniic signs could not be assessed.
Conclusion
Various dermoscopies have been studied extensively, but the mucoscopy is still a gray area. The results of this study revealed the dermoscopic features of various genital disorders and histopathological correlation in few cases. However, biopsy was not performed in all mucosal disorders; hence, conclusive correlation could not be extrapolated.
... Their bases are separated, unlike acuminate condylomata, which are hard and irregular and whose projections may cluster around the same base. In addition, most acuminate condylomata bleach under the acetic acid test [3]. Dermoscopy of VP shows abundant and irregular vessels along the center of cylindrical papillae. ...
Sir, For a considerable time, vestibular papillomatosis (VP) has been conceived of as a secondary pathology to HPV (human papilloma virus). Nowadays, several authors are reconsidering it as an anatomical variant of the vestibular mucosa. We report a case of VP initially mistaken for vulvar condyloma. A 25-year-old female without any particular medical history presented herself to the gynecologist for genital papules, without functional signs of genital discharge or dyspareunia. A cervicovaginal smear and viral serologies for HIV and hepatitis B and C were negative, and a diagnosis of vulvar condyloma was reached. The patient was referred to the dermatology department for eventual treatment. A clinical examination revealed filiform, flexible, flesh-colored papillae 1–2 mm in diameter located on both edges of the vulva (Fig. 1). A dermoscopic examination found linear, symmetrical papillae in the vulval vestibule with abundant vessels along them (Fig. 2). There was no whitening of the lesions under the acetic acid test. The diagnosis of vestibular papillomatosis was reached, the patient was reassured, and no treatment was prescribed.
Nonvenereal vulvar diseases such as syringoma and vestibular papillomatosis can be difficult to differentiate from genital warts. Misdiagnosis of these conditions can lead to improper treatment without significant improvement and prolonged suffering. Histopathology may differentiate these conditions from sexually transmitted diseases and help in appropriate treatment. Here, we present case series of four rare vulvar diseases.
Kaposi’s sarcoma (KS) is a malignancy that generally affects the skin. It may be systemic with internal organ involvement, originating from the vascular endothelium. It is an acquired immunodeficiency syndrome (AIDS)-defining illness. Human herpes virus-8 (HHV-8) infection is involved in its pathogenesis. KS lesions have a general distribution, often involving the skin of the feet and legs and, to a lesser extent, the hands, arms, and trunk. Isolated scrotal involvement in an immunocompetent patient is a highly rare presentation. Herein, we present an immunocompetent Saudi patient with scrotal KS. A review of the related literature is also presented.
