Vestibular papillomatosis: Difference between revisions
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==Clinical Features== | ==Clinical Features== | ||
[[File:PMC5297281 IDOJ-8-63-g001.png|thumb|Benign vulvar vestibular papillomatosis.]] | |||
*Linear, pink, [[rash|papules]] symmetrically on the inner aspect of labia minora | *Linear, pink, [[rash|papules]] symmetrically on the inner aspect of labia minora | ||
*Papules are easily separated at the base | *Papules are easily separated at the base | ||
==Differential Diagnosis== | ==Differential Diagnosis== | ||
*Condyloma | *[[Condyloma Acuminata]] | ||
*Vulvar neoplasia | *Vulvar neoplasia | ||
*[[Genital herpes]] | *[[Genital herpes]] | ||
*Condylomata lata | *[[Condylomata lata | ||
==Evaluation== | ==Evaluation== | ||
| Line 22: | Line 23: | ||
==Management== | ==Management== | ||
*Normal variant | |||
==Disposition== | |||
*Discharge | |||
==References== | ==References== | ||
Latest revision as of 21:00, 8 September 2020
Background
- Normal anatomical variant commonly mistaken for genital warts/herpes
- Benign and asymptomatic, present in ~1% of women
Clinical Features
- Linear, pink, papules symmetrically on the inner aspect of labia minora
- Papules are easily separated at the base
Differential Diagnosis
- Condyloma Acuminata
- Vulvar neoplasia
- Genital herpes
- [[Condylomata lata
Evaluation
Usually clinical
- Contrast with others:
- Condyloma acuminata lesions extend outside the vestibule and fuse at the base
- Vulvar neoplasia has variable presentations but most likely to present as one unique patch - decision to refer for biopsy depends on clinical presentation
- Genital herpes usually presents with itch, progression from erythematous to vesicular lesions, then rupture forming superficial ulcers
- Condylomata lata typically involves labia majora and anus
Management
- Normal variant
Disposition
- Discharge
References
- Camilla Salvini, MD and Angelina De Magnis, MD. Multiple papillae on labia minora. CMAJ. 2008 Oct 7; 179(8): 799–800.