Vestibular papillomatosis: Difference between revisions
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*Normal anatomical variant commonly mistaken for genital warts/herpes | *Normal anatomical variant commonly mistaken for genital warts/herpes | ||
*Benign and asymptomatic, present in ~1% of women | *Benign and asymptomatic, present in ~1% of women | ||
*Linear, pink, papules symmetrically on the inner aspect of labia minora | |||
==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 | |||
*Papules are easily separated at the base | *Papules are easily separated at the base | ||
== | ==Differential Diagnosis== | ||
*[[Condyloma Acuminata]] | |||
*Vulvar neoplasia | |||
*[[Genital herpes]] | |||
*[[Condylomata lata | |||
==Evaluation== | |||
''Usually clinical'' | |||
*Contrast with others: | *Contrast with others: | ||
**Condyloma acuminata lesions extend outside the vestibule and fuse at the base | **Condyloma acuminata lesions extend outside the vestibule and fuse at the base | ||
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**Genital herpes usually presents with itch, progression from erythematous to vesicular lesions, then rupture forming superficial ulcers | **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 | **Condylomata lata typically involves labia majora and anus | ||
==Management== | |||
*Normal variant | |||
==Disposition== | |||
*Discharge | |||
==References== | ==References== | ||
Camilla Salvini, MD and Angelina De Magnis, MD. Multiple papillae on labia minora. CMAJ. 2008 Oct 7; 179(8): 799–800. | *Camilla Salvini, MD and Angelina De Magnis, MD. Multiple papillae on labia minora. CMAJ. 2008 Oct 7; 179(8): 799–800. | ||
[[Category:Dermatology]] | |||
[[Category:OBGYN]] | |||
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.