The patient is a 32-year-old woman who was seen today for lesions on the
vulvae. She saw a gynecologist because
one of them was bleeding and he told her that they were cherry angiomas and
that she should see a dermatologist.
EXAMINATION: The examination
shows a pleasant, moderately obese woman. On the
vulva, she has scores of purple papules measuring 1-2 mm in diameter.
Photo
Reference:
1. Angiokeratoma of the Vulva
[Article in English, Portuguese]
Leticia Fogagnolo 1 ,
et. al
An Bras Dermatol Mar-Apr 2011;86(2):333-5. PMID: 21603817
Abstract: Angiokeratomas are benign tumors characterized by ectasia of blood vessels in the papillary dermis associated with acanthosis and hyperkeratosis of the epidermis. Dermatological examination of angiokeratomas of Fordyce is characterized by papular keratotic lesions of erythematous-violet color. They are more common in the scrotum, and vulvar involvement is rarely reported. Histopathology is particularly important to distinguish them from other benign and malignant tumors. The article reports the case of a middle-aged black woman with a history of chronic constipation, varicose veins of the lower limbs and cesarean section performed 20 years ago who had had multiple vulvar angiokeratomas for three months.
Abstract: Angiokeratomas are benign tumors characterized by ectasia of blood vessels in the papillary dermis associated with acanthosis and hyperkeratosis of the epidermis. Dermatological examination of angiokeratomas of Fordyce is characterized by papular keratotic lesions of erythematous-violet color. They are more common in the scrotum, and vulvar involvement is rarely reported. Histopathology is particularly important to distinguish them from other benign and malignant tumors. The article reports the case of a middle-aged black woman with a history of chronic constipation, varicose veins of the lower limbs and cesarean section performed 20 years ago who had had multiple vulvar angiokeratomas for three months.
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