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Year : 2015  |  Volume : 81  |  Issue : 3  |  Page : 325-326

Multiple vegetating lesions over the genitalia


1 Department of Dermatology, Yenepoya Medical College, Yenepoya University, Deralakatte, Mangalore, India
2 Department of Pathology, Yenepoya Medical College, Yenepoya University, Deralakatte, Mangalore, India

Date of Web Publication4-May-2015

Correspondence Address:
Dr. Celia S Saldanha
Department of Dermatology, Yenepoya Medical College, Yenepoya University, Deralakatte, Mangalore - 575 018
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0378-6323.155563

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How to cite this article:
Saldanha CS, Shenoy MM, Shanthala P R, Amin VB. Multiple vegetating lesions over the genitalia. Indian J Dermatol Venereol Leprol 2015;81:325-6

How to cite this URL:
Saldanha CS, Shenoy MM, Shanthala P R, Amin VB. Multiple vegetating lesions over the genitalia. Indian J Dermatol Venereol Leprol [serial online] 2015 [cited 2020 Oct 24];81:325-6. Available from: https://www.ijdvl.com/text.asp?2015/81/3/325/155563


A 41-year-old widow presented with multiple, asymptomatic, raised lesions over the genitalia for 3 months. The lesions had slowly increased in number and extent. There was no history of any fluid-filled lesion or any genital ulcer in the past. She denied any history of extramarital sexual contact. No other family member had similar lesions. On examination, multiple grayish, moist, vegetating papules and plaques of varying sizes were present on the labia majora, perianal area, and groins [Figure 1]. There were erythematous eroded areas in the oral cavity with candidiasis. Random blood sugar, venereal disease research laboratory (VDRL) test, Treponema pallidum hemagglutination (TPHA), HIV spot test, and serum IgM for herpes simplex virus were done. Dark ground illumination (DGI) was performed; Tzanck smear was also taken from the eroded lesion. A 4-mm punch biopsy was taken from the lesion over the right labia majus [Figure 2].
Figure 1: Multiple moist, vegetating papules and plaques on the labia majora, groin and the perianal region


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Figure 2: Eosinophils in the epidermis and the dermis


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  References Top

1.
Bystryn JC, Rudolph JL. Pemphigus. Lancet 2005;366:61-73  Back to cited text no. 1
    
2.
Rosenberg FR, Sanders S, Nelson CT. Pemphigus: A 20-year review of 107 patients treated with corticosteroids. Arch Dermatol 1976;112:962-70.  Back to cited text no. 2
    
3.
Ahmed AR, Blose DA. Pemphigus vegetans. Neumann type and Hallopeau type. Int J Dermatol 1984;23:135-41.  Back to cited text no. 3
    
4.
Wu H, Brandling- Bennett HA, Harrist TJ. Noninfectious Vesiculobullous and Vesiculopustular Diseases. In: Elder DE, Elenitsas R, Johnson BL, Murphy GF, Xu X, editors. Lever's histopathology of the skin. 10 th edn. Philadelphia: Lippincott; 2009. p. 250.  Back to cited text no. 4
    
5.
Jain VK, Jindal N, Imchen S. Localized pemphigus vegetans without mucosal involvement. Indian J Dermatol 2014;59:210.  Back to cited text no. 5
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