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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 ?
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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}