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2015:81:3;325-326
doi: 10.4103/0378-6323.155563
PMID: 25900933

Multiple vegetating lesions over the genitalia

Celia S Saldanha1 , Manjunath M Shenoy1 , PR Shanthala2 , Vishal B Amin1
1 Department of Dermatology, Yenepoya Medical College, Yenepoya University, Deralakatte, Mangalore, India
2 Department of Pathology, Yenepoya Medical College, Yenepoya University, Deralakatte, Mangalore, India

Correspondence Address:
Celia S Saldanha
Department of Dermatology, Yenepoya Medical College, Yenepoya University, Deralakatte, Mangalore - 575 018
India
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;81:325-326
Copyright: (C)2015 Indian Journal of Dermatology, Venereology, and Leprology

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
Figure 2: Eosinophils in the epidermis and the dermis

What is your Diagnosis?



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