Vestibular papillomatosis: Difference between revisions
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Revision as of 03:35, 27 July 2016
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
References
- Camilla Salvini, MD and Angelina De Magnis, MD. Multiple papillae on labia minora. CMAJ. 2008 Oct 7; 179(8): 799–800.