CLINICO-PATHOLOGICAL STUDY OF NON-VENEREAL GENITAL DERMATOSES
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2018, Vol 7, Issue 21
Abstract
BACKGROUND Non-Venereal Dermatoses tend to be confused with Venereal Diseases, which may be responsible for considerable concern to the patients as well as causing diagnostic dilemma to the Physicians. The study was to find the pattern of Non-Venereal Dermatoses presenting with genital lesions and to compare with the clinical and histopathological diagnosis. MATERIALS AND METHODS The study included 100 patients of both sexes attending the OPD of Department of DVL of Osmania General Hospital, Hyderabad, presenting with genital lesions, orogenital lesions, genital and skin lesions and orogenital and skin lesions of Non-Venereal conditions presenting over a period of 18 months from Dec 2013 to Jun 2015. Data was collected from the selected subjects by recording relevant patient details and a thorough general, systemic and dermatological examination. All cases were subjected to thorough clinical examination and investigations. RESULTS The prevalence of Non-Venereal Genital lesion during the period was found to be 4.1 per 1000 patients attending DVL Department. The most common disorder was genital vitiligo, which accounted for 21 patients (21%) followed by scabies in 19 (19%) and Lichen planus in 10 (10%). The other major disorders encountered included pemphigus vulgaris in 10 (10%), FDE in 8 (8%), pearly penile papules and LSEA each in 5 (5%) patients. Scabies 19 (24.35%) and genital vitiligo 15 patients (19.23%) were the two most common disorders seen in the male population, whereas genital vitiligo in 6 (27.27%) and pemphigus vulgaris in 6 (27.27%) were common disorders seen among female population. CONCLUSION In the present study, there was a high correlation with confirmation of clinical diagnosis to histological diagnosis except in two cases where the findings resulted in a change in the diagnosis. Most dermatoses of the genitalia are amicable to clinical diagnosis based on classic dermatological grounds of full history taking and complete physical examination. Biopsies need not be performed routinely, although they may be useful in confirming the clinical diagnosis. Secondly, a histological diagnosis may be valuable in advancing patient management.
Authors and Affiliations
Kurimila Narasimha Prasad, Vangali Srikanth Reddy, Boppani Praveen Kumar, Prasad JVDS
Keywords
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- EP ID EP431669
- DOI 10.14260/jemds/2018/587
- Views 83
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