Vestibular papillae of the vulva. Lack of evidence for human papillomavirus etiology

Biomolecular Study of the Correlation Between Papillomatosis of the Vulvar Vestibule in Adolescents and Human Papillomavirus

“…We consider papillomatosis of the vulvar vestibule as a normal variant in the vulvar vestibule architecture, not directly related to infection by the HPV in agreement with others [6,9,15,16,17,18,19,20]. Based on our findings, we believe that papillomatosis of the vulvar vestibule should not be treated, avoiding unnecessary procedures in this way, as well as harmful emotional reactions on part of the patients, many still virgins, who may erroneously presume themselves infected by a neoplasm-inducing and sexually transmissible virus.…”

Micropapillomatosis labialis – Report of three cases

“…Our case met the clinical criteria for VVP proposed by Moyal-Barracco et al . [ 2 ] Our diagnosis was confirmed dermoscopically. Our patient’s dermatoscopy revealed multiple cylindrical projections distributed regularly, each with a separate base, confirming our diagnosis.…”

The use of dermatoscopy to differentiate vestibular papillae, a normal variant of the female external genitalia, from condyloma acuminata

“…The projections have conglomerate vascular structures and are more white and broader than vestibular papillae; this might correlate with the hyperkeratotic and acanthotic features of condyloma acuminata (Fig 3). Therefore, along with the five clinical parameters suggested by Moyal-Barranco et al, 3 we believe that characteristic dermatoscopic findings provide additional diagnostic clues to differentiate vestibular papillae from condyloma acuminata. Because vestibular papillae are unfamiliar to clinicians, they may be misdiagnosed as condyloma acuminata, leading to inappropriate treatment.…”