Dr. Jayakar Thomas
KK CHILDS Trust Hospital, & Apollo Hospitals, Chennai, India
E mail: thomas_j@vsnl.net
The patient is a 25 yo married woman from Chennai, India who presented with itchy papules over the vulval area for the last two years. There was no history suggestive of risk of acquiring any STD.
Physical Exam: Clinical examination revealed a healthy very good-looking young lady with multiple papules over her genital region.
Lab: Nil relevant
Histopathology : Not done
Diagnosis: Verruca plana
Comment: We see verruca vulgaris and condyloma usually in these site.
25 yo woman
Verruca plana is not common. This lady was in the habit of shaving her pubic hairs which has resulted in spread and persistence of lesions.
Topical 5% imiqumod should help if used with caution.
Question: What do the members feel would be the management strategy?
This is an interesting case. It would be helpful to see a clinical picture; but I understand why this might not be acceptable to the patient. Verruca plana of the genitalia must be very unusual. There are few references to this in PubMed. A biopsy would be helpful to rule out bowenoid papulosa or intraepithelial neoplasia. Shave biopsy would be relatively simple. Please keep us posted.
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