A retrospective study on the incidence of non-venereal genital dermatoses in patients attending STI clinic at a tertiary care centre

Authors

  • Balakrishnan Thenmozhi Priya Department of Dermato-Venereo- Leprology, Kilpauk Medical College, Kilpauk, Chennai
  • Vijayaanand Muthupandian Department of Dermato-Venereo- Leprology, Kilpauk Medical College, Kilpauk, Chennai
  • Krishnaveni Alagar Department of Dermato-Venereo- Leprology, Kilpauk Medical College, Kilpauk, Chennai
  • Rajkumar Kannan Department of Dermato-Venereo- Leprology, Kilpauk Medical College, Kilpauk, Chennai

DOI:

https://doi.org/10.18203/issn.2455-4529.IntJResDermatol20172207

Keywords:

Non venereal, Genital dermatoses, Venerophobia, Sexual counselling

Abstract

Background: To study the clinical and epidemiological pattern of occurrence of non-venereal genital dermatoses among the patients attending STI clinic. Also an attempt was made to know the level of awareness among the patients studied and the level of psychological impact on the affected persons before they were diagnosed as anon venerealdermatoses.

Methods: A study was conducted among 125 patients who attended the STI Clinic in a tertiary care center in a period of 6 months. Detailed history was taken along with complete physical examination and local examination.

Results: 125 patients attended the STI Clinic. Among them 75 patients [40 males and 35 females] were diagnosed to have Non venereal genital dermatoses. A total of 14 different non venereal dermatoses were observed in our study The commonest age group affected were in the age group of 30-40 year. The most common non-venereal dermatoses in females in our study were Lichen sclerosuset atrophicus and in males were fixed drug eruptions Pearly penile papules. Mild anxiety and concern about the genital lesions were found in almost all the males and females.

Conclusions: A prompt and correct diagnosis of non-venereal genital dermatoses needs a greater clinical acumen along with various investigative methods Patient must be treated as a whole rather than treating the disease alone. The complete successful outcome lies not only in treating the disease but also treating the patient as a whole allying his undue fears, stress and misconceptions. 

Author Biography

Balakrishnan Thenmozhi Priya, Department of Dermato-Venereo- Leprology, Kilpauk Medical College, Kilpauk, Chennai

ASSISTANT PROFESSOR

DEPARTMENT OF DERMATOLOGY
KILPAUK MEDICAL COLLEGE

 

References

Khaitan BK. Non-venreal diseases of genitalia. In: Sharma VK, editor. Sexually Transmitted Diseases and AIDS. 1st edition. New Delhi: Viva books Pvt Ltd; 2003: 413-421.

Lynch PJ, Moyal-Barrocco M, Bogliatto F, Micheletti L, Scurry J. Classification of vulvar dermatoses: pathologic subsets and their clinical correlates. J Reprod Med. 2007;52:3-9.

Sullivan AK, Straghair GJ, Marwood RP, Staughton RC, Barton SE. A multidisciplinary vulva clinic: the role of genitor-urinary medicine. J Eur Acad Dermatol Venereol. 1999;13:36-40.

Bunker CB, Neill SM: The genital, perianal and umbilical regions. In: Burns T, Breathnach S, Cox N, Griffiths C, editors. Rook’s textbook of dermatology. 7th edition. Oxford: Blackwell Science; 2004: 68.1-68.104.

Mortimer PS. Disorders of lymphatic vessels. In: Burns T, Breathnach S, Cox N, Griffiths C, editors. Rook’s Textbook of Dermatology, 7th edition. Oxford: Blackwell Science; 2004: 51.1-51.27.

Chatterjee M, Singh GK. NonVenereological Disorders of Genitalia. In: Sacchidanand S, Oberai C, Inamdar AC, editors. IADVL, Textbook of Dermatology. 2015;3(4):84.

Puri N, Puri A. A study on nonvenereal genital dermatoses in north India. Our Dermatology Online. 2012;3(4):304–7.

Karthikeyan KE, Jaishankar TJ, Thappa DM. Non-venereal dermatoses of male genital region-prevalence and pattern in a referral centre in South India. Indian J Dermatol. 2001;46:18-22.

Acharya KM, Ranpara H, Sakhia JJ, Kaur C. A study of 200 cases of genital lesions of non-venereal origin. Indian J Dermatol Venereol Leprol. 1998;64:68-70.

Khoo LS, Cheong WK. Common genital dermatoses in male patients attending a public sexually transmitted disease clinic in Singapore. Ann Acad Med Singapore. 1995;24:505-9.

Powell J, Wojnarowska F. Lichen sclerosus. Lancet. 1999;353(9166):1777–83.

Neill S, Tatnall F, Cox N. Guidelines for the management of lichen sclerosus. British J Dermatol. 2002;147(4):640–9.

Funaro D. Lichen sclerosus: a review and practical approach. Dermatologic Therapy. 2004;17(1):28–37.

Jindal S, Dedhia A, Tambe S, Jerajani H. Vulvovaginal varicosities: An uncommon sight in a dermatology clinic. Indian U Dermatol. 2014;59 (2):210

Bleehen SS, Anstey AV. Disorder of skin colour. In: Burns T, Breathnach S, Cox N, Griffiths C, editors. Rook’s textbook of Dermatology. 7th edition. Oxford: Blackwell Science; 2004: 39.1-39.68.

Ezzesinek, Kim HE, Suzuki T. Revised Classification/ nomenclature of vitiligo and related issue: the Vitiligo Global Issues Consensus Conference. Pigment Cell Melanoma Red. 2012;25:1-13.

Garg A, Mishra D, Garg S, Saraswat P. A study of pattern of nonvenereal genital dermatoses of male attending skin OPD at a tertiary care center. Indian J Sexually Transmitted Diseases AIDS. 2014;35(2):129.

Stone KI, Wilkinson EJ. Benign and preinvasive lesions of vulva and vagina. In: Copeland LJ, Jarell JF, editors. Textbook of Gynecology. 2nd edition, Philadelphia: WB Saunders company; 2000: 1165- 1184.

Soutter WP. Benign disease of vulva and vagina, In: Shaw RW, SoutterWP, StantonSL. Editors, Gynaecology. 2nd edition. Edinburg: Churchill Livingstone; 1997: 557-568.

Fischer GO. Vulval disease in pre-pubertal girls. Australas J Dermatol. 2001;42(4):225-34.

Sonnex C, Dockerty WG. Pearly penile papules: A common cause of concern. Int J STD AIDS. 1999;10:726–7.

Agrawal SK, Bhattacharya SN, Singh N. Pearly penile papules: a review. Int J Dermatol. 2004;43:199–201.

Rokhsar CK, Ilyas H. Fractional resurfacing for the treatment of pearly penile papules. Dermatol Surg. 2008;34:1420–2.

Zoo JJ. Balanitis and vulvitis plasma cellularis. Dermatologica. 1955;111:157.

Ansink AC, Heintz AP. Epidemiology and etiology of squamous carcinoma of the vulva. Eur J Obstet Gynecol Reprod Biol. 1993;48:111-5.

Carli P, Cattaneo A, De Magnis A, Biggeri A, Taddei G, Giannotti B. Squamous cell carcinoma arising in vulvar lichen sclerosus: a longitudinal cohort study. Eur J Cancer Prev. 1995;4:491-5.

Wilkinson EJ. Normal histology and nomenclature of the vulva, and maliganant neoplasms including VIN. Dermatol Clin. 1992;10(2):283-96.

Derrick EK, Ridley CM, Kobza-Black A, Mckee PH, Neill SM. A clinical study of 23 cases of female anogenital carcinoma. Br J Dermatol. 2000;143(6):1217-23.

Nucci MR, Young RH, Fletcher CD. Cellular pseudosarcomatous fibroepithelial stromal polyps of the lower female genital tract: an under recognized lesion often misdiagnosed as sarcoma. Am J Surg Pathol. 2000;24:231-40.

Shaaban AM, Turton EPL, Merchant W. An unusual case of a large fibroepithelial stromal polyp presenting as a nipple mass. BMC Research Notes. 2013;6:345.

Ross MW. Psychological perspectives on the Sexuality and Sexually Transmitted Diseases. In: Holmes KK, Sparling PF, Mardh PA, Lemon SM, Stamm WE, Piot P, et al., editors. Sexually Transmitted Diseases.3rd edition. New York: McGraw Hill; 1999: 107–113.

Peyrot I, Boulinguez S, Sparsa A, Le Meur Y, Bonnetblanc JM, Bedane C. Bier’s white spots associated with scleroderma renal crisis. Clin Exp Dermatol. 2007;32:165-7.

Binois R, Galliot C, Audia S, Aubriot-Lorton MH, Collet E, Dalac-Rat S, et al. Multiple anaemic macules and diffuse erythrocyanosis revealing mixed cryoglobulinaemia. Eur J Dermatol 2011;21:269-70.

Fan YM, Yang YP, Li W, Li SF. Bier spots: six case reports. J Am Acad Dermatol. 2009;61(3):11-2.

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Published

2017-05-22

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Original Research Articles