Pattern of non-venereal dermatoses of female external genitalia in Rajasthan

Abstract

Aims: To study the pattern and clinico-pathological profile of non-venereal dermatoses of female external genitalia in Rajasthan. Materials and Methods: Non venereological diseases of genitalia are often a diagnostic dilemma to the treating physician and also a cause of considerable concern to the patient because they tend to be confused with venereal diseases.We conducted this study in 355 female patients with non venereal dermatoses in Rajasthan over a period of two years from April 2014 to April 2016. The demographic characteristics and clinical findings were recorded and histopathologically confirmed as and when required. Cases having venereal diseases were excluded from the study by carrying out serological and microbiological tests for venereal diseases. Results: The most common non-venereal dermatoses were Tinea cruris and incognito (109 cases or 30.70 %), lichen simplex chronicus (96 cases or 27.04%),Lichen sclerosus et atrophicus (65 cases or 18.30%) and vitiligo (20 cases or 5.63%).Other dermatoses included folliculitis, candidal intertigo,Bartholin cyst, Streptococcal vulvitis, Behcets disease,Molluscum contagiosum (autoinoculated), Lichen Planus, Bowenoid papulo-sis, Acrochordon , Lymphangiectesis, contact dermatitis, Congenital adhesion of labial fold ,Red vagina, Bidermatomal Herpes zoster, Papillary hidradenoma of vulva, keloid and Psoriasis. Conclusion: This study highlights the importance of diagnosing non-venereal dermatoses not only for correct treatment of the patient but also to allay the anxiety associated with sexually transmitted diseases and cancer phobia.