Indian Journal of Sexually Transmitted Diseases and AIDS
CASE REPORT
Year
: 2018  |  Volume : 39  |  Issue : 2  |  Page : 124--126

Recurrent, nodular lesions over the vulva: A diagnostic challenge


Suvarna Samudrala, M Ramesh Bhat 
 Department of Dermatology, Father Muller Medical College, Mangalore, Karnataka, India

Correspondence Address:
Dr. Suvarna Samudrala
Department of Dermatology, Father Muller Medical College, Kankanady, Mangalore - 575 002, Karnataka
India

Angiokeratomas are benign tumors characterized by proliferation and dilatation of blood vessels in the upper dermis. They are divided into widespread and localized forms. The localized forms are further classified as angiokeratoma of Fordyce, angiokeratoma circumscriptum neviforme, circumscribed angiokeratoma, and angiokeratoma of Mibelli, of which angiokeratoma of Fordyce is the most common. A 38-year-old female, with no systemic comorbidities presented with recurrent, asymptomatic dark, raised lesions over the vulva for 15 years, progressively increasing in size and number. There were no similar complaints in the family or spouse. On examination, multiple pedunculated hyperpigmented papules and nodular lesions with a verrucous surface were present over the bilateral labia majora and pubic area. Per speculum examination revealed no abnormalities. The oral, conjunctival, and genital mucosae were normal. There were no similar lesions elsewhere over the body. Histopathological examination revealed marked dilatation of papillary dermal vessels forming large, blood-filled cavernous channels, suggestive of angiokeratoma. The lesions were removed using radiofrequency. We present this case due to the rarity of its occurrence and to emphasize the importance of ruling out nonvenereal causes of genital lesions.


How to cite this article:
Samudrala S, Bhat M R. Recurrent, nodular lesions over the vulva: A diagnostic challenge.Indian J Sex Transm Dis 2018;39:124-126


How to cite this URL:
Samudrala S, Bhat M R. Recurrent, nodular lesions over the vulva: A diagnostic challenge. Indian J Sex Transm Dis [serial online] 2018 [cited 2019 Oct 21 ];39:124-126
Available from: http://www.ijstd.org/article.asp?issn=2589-0557;year=2018;volume=39;issue=2;spage=124;epage=126;aulast=Samudrala;type=0