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Multiple papules on the vulva
2 Consultant Pathologist, Arya diagnostic labs, Visakhapatnam, India
Correspondence Address:
G Raghu Rama Rao
Surya Skin Care and Research Center, #15-1-2, Gopal Sadan, Naoroji Road, Maharanipeta, Visakhapatnam - 530 002, Andhra Pradesh
India
| How to cite this article: Rama Rao G R, Rani R R, Amareswar A, Krishnam Raju P V, Kumari P R, Kumar Y H. Multiple papules on the vulva. Indian J Dermatol Venereol Leprol 2008;74:185-186 |
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| Figure 2: Small cysts lined by two rows of cells filled with keratin material, A. few ducts showing epithelial extensions (H & E, ×200) B. High power view of the ducts (H & E, ×400) |
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| Figure 2: Small cysts lined by two rows of cells filled with keratin material, A. few ducts showing epithelial extensions (H & E, ×200) B. High power view of the ducts (H & E, ×400) |
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| Figure 1: Multiple papules on vulva |
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| Figure 1: Multiple papules on vulva |
A 26 year-old married woman presented with a two-year history of asymptomatic, multiple papular lesions on the vulva. There was no history of premarital or extramarital exposure. On clinical examination, there were multiple, small, firm, skin-colored papules on the vulva [Figure - 1]. The lesions were nontender and there was no lymphadenopathy. Systemic examination including per vaginal and per rectum examinations, revealed no abnormality. Routine investigations were normal. Test for HBsAg, HIV I and II, VDRL were non-reactive. A 3 mm punch biopsy was done for the lesion. Histopathology showed a normal epidermis and the dermis showed a number of small cysts and ducts lined by two rows of cells. Some of the cysts were filled with keratin material. Walls of some of the ducts had epithelial extensions [Figure - 2].
What is your Diagnosis ?
| 1. |
Kaddu S, Kerl H. Appendage tumors of the Skin. Fitzpatrick's Dermatology in general medicine; 6 th ed. Vol. 1; McGraw - Hill Medical Publishers: p. 794-5.
th ed. Vol. 1; McGraw - Hill Medical Publishers: p. 794-5.'>[Google Scholar]
|
| 2. |
Haung YH, Chaung YH, Kuo TT. Vulvar syringoma: A clinico pathologic and immunohistologic study of 18 patients and results of treatment. J Am Acad Dermatol 2003;48:735-9.
[Google Scholar]
|
| 3. |
Tawade YV. Syringoma of the vulya. Indian J Dermatol Venereol Leprol 2000;66:326-7.
[Google Scholar]
|
| 4. |
Isaacson D, Turner ML. Localized vulvar syringomas. J Am Acad Dermatol 1979;1:352-6.
[Google Scholar]
|
| 5. |
Karam P, Benedetto AV. Syringomas: New approach to an old technique. Int J Dermatol 1996;35:219-20.
[Google Scholar]
|
| 6. |
Zalla SA, Perry HO. An unusual case of syringoma. Arch Dermatol 1971;103:215-7.
[Google Scholar]
|
| 7. |
Young AW Jr, Herman EW, Tovell HM. Syringoma of the vulva: Incidence, diagnosis and cause of pruritus. Obstet Gynaecol 1980;55:515-8.
[Google Scholar]
|
| 8. |
Klunger N, Mishra S, Jain RK, Saxena S, Multiple eccrine hidrocytomas: Report of two cases treated unsuccessfully with atropine ointment. Indian J Dermatol Venereol Leprol 2004;70:367-9.
[Google Scholar]
|
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![[Figure - 1]](#fig_ijdvl_2008_74_2_185_39726_1.jpg){kind=link}
![[Figure - 2]](#fig_ijdvl_2008_74_2_185_39726_2.jpg){kind=link}