Diseases of the anogenital skin

In vivo confocal microscopic substrate of grey colour in melanosis

“…In the absence of RCM that can demonstrate the presence of melanophages, our study highlighted that grey melanoses usually do not present additional features evocative of MM under dermoscopy, such as the presence of more than two colours and multiple patterns, especially the structureless pattern, reticular lines and dots that are more common in MM. 6 The possible presence of melanophages in melanoses is well-known 9 and in our study all biopsied grey lesions showed melanophages on histological examination. In few lesions melanophages were present under histological examination but not upon RCM.…”

Crusted tumor of the scalp

“…Microscopic appearance cannot definitively differentiate between a cutaneous metastasis of an extracutaneous leiomyosarcoma and a primary cutaneous tumor. Cutaneous metastasis of a primary extracutaneous leiomyosarcoma -for example, urogenital leiomyosarcomamust be considered particularly in the event of multiple tumors, nodular growth patterns as well as location on the scalp [3][4][5]. In this case extracutaneous disease has not been detected, so that primary cutaneous leiomyosarcoma is assumed until proven otherwise.…”

Gynecologic Infections

“…89,90 Regional lymphadenopathy often accompanies the genital lesions. 86,92 It can be seen with routine hematoxylin and eosin (H&E) stain, but silver stains highlight the egg. 86,92 It can be seen with routine hematoxylin and eosin (H&E) stain, but silver stains highlight the egg.…”

“…73 Infection, which is four times more prevalent in men than in women, occurs after inhalation of spores. 92 Behçet disease, a rare cause of vulvar ulcers, occurs in Japan and Eastern Mediterranean countries. Although vulvar lesions have not been reported, scrotal lesions have been described.…”

“…92,102 The diagnosis is one of exclusion; ulcerative lesions of the vulva may be the presenting symptom. C. trachomatis is a small, inflammation.…”