Verrucous epidermal nevus on female genitalia: A rare presentation

Kaur, Tejinder; Kataria, Amarjit Singh; Sethi, Anisha

doi:10.4103/2319-7250.152122

Cited by 2 publications

(2 citation statements)

References 4 publications

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“…Epidermal nevi were encountered in 10% of the study patients. In literature, there are only few reports of epidermal nevi occurring over Anogenital area without documented exact prevalence (17)(18)(19). Epidermal nevi present as linear hyper pigmented verrucous grouped papules and plaques (22).…”

Section: Discussionmentioning

confidence: 99%

“…These lesions may resolve spontaneously, although treatment is better to prevent further spread of the virus (15). Epidermal nevi are benign cutaneous hamartoma characterized by hyper pigmented verrucous papules and plaques that follow linear arrangement along Blaschko's line over face, trunk, extremities, and rarely over genitalia (17)(18)(19). Epidermal nevi usually appear in the first year of life as flat lesions that get more verrucous with age (20)(21)(22).…”

Section: Introductionmentioning

confidence: 99%

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Introduction: Anogenital area is a small compartment in the human body. Recognition of various dermatological conditions affecting this area in children is essential for any physician involved in pediatric examination and evaluation. Aim: To assess the nature, diagnoses, and gender differences of Anogenital lesions in pediatric patients presented to Royal Medical Services (RMS) general dermatology clinics, who were five year old and younger. Methods: The authors reviewed patients' medical records in the period between September 2015 and September 2018. The inclusion criteria were children of both genders who were five year old or younger and presented with papular lesions in the Anogenital area. Those patients visited the general dermatology clinics of The Royal Medical Services Hospitals from the Eastern and Southern regions of Jordan. Results: Over a period of 3 years, a total of 514 patients were five year old or younger presented with various Anogenital papular lesions were evaluated and treated in general dermatology clinics. 35% of the patients presented with Perianal Psuedoverrucous Papules and nodules, 21% presented with Anogenital warts, 16% presented with Molluscum Contageosum. Moreover, 10% were presented with Epidermal nevi, 6% presented with Pearly Penile Papules, 7% presented with Infantile Perineal Pyramidal Protrusion, 4% presented with Vulvar Vestibular Papillomatosis, 0.2% presented with Juvenile Xanthogranuloma, 0.2% presented with lymphangioma Circumscriptum, and 0.2% presented with median raphe cyst. In addition, gender differences were noticed among Genital Warts, Mollascum Contageosum, Pearly Penile Papules, and Vulvar Vestibular Papillomatosis. Conclusion: Anogenital papules in children have variable clinical presentations and can be caused by multiple number of infectious and non-infectious factors. The presence of such lesions can be a source of a major concern for parents, and might be mistakenly assumed as a result of sexual assaults. Proper recognition of these papules is of paramount importance for all physicians involved in children examination, to appropriately reassure parents and avoid unnecessary investigations and psychological distress.

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