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Organo Oficial de la Sociedad Mexicana de Urología

2021, Number 5

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Rev Mex Urol 2021; 81 (5)

Identification of dermatological lesions on the external genitalia

Varela HCI, Malvehy HN, Ayala MGA, Estupiñán LFE, García-Perdomo HA

Language: Spanish
References: 14
Page:
PDF size: 176.15 Kb.


ABSTRACT

Objective: To identify the lesions in the external genitalia and describe the possible related factors in the adult population treated in the dermatology service of the Hospital Universitario del Valle Methods: An observational descriptive study was carried out, applying a survey to collect clinical and sociodemographic data and a physical examination was carried out to describe the dermatological lesions and diseases on the external genitalia of the patients treated Results: We included 59 patients (34 women [57.6%] and 25 men [42.4%]). Twenty-one patients (35,6%) had external genital lesions, of which, nine (42.9%) were papules, eight (38.1%) plaque-like lesions, two (9.5%) macules, one (4.8%) papule + plaque, one (4.8%) papule + pustule. Among the registered diagnostic impressions are: folliculitis (4), tinea cruris (3), psoriasis (2), vitiligo (2), viral warts (2), balanitis (1), condylomas (1), skin tags (1), intertrigo candidiasico (1), bowenoide papulosis (1), Fordyce angiokeratoma (1). 52.5% (31) of the respondents referred overweight and obesity, 15.3% (9) type 2 diabetes mellitus, and 15.3% (9) hypertension, as comorbidities. 57.6% (34) presented sexual activity in the last year; 74.6% (44) denied condom use, 15.3% (9) occasional use, and 10.2% (6) routine use. 92% (23) of male patients surveyed had a history of circumcision. 61% (36) referred the use of some method of hair removal, of which 92% (33) were by shaving. Conclusions: We found a frequency of lesions in the external genitalia of 35.6%; being the papules and plaques, the primary lesions most reported in this study. The predominant symptom was pruritus; related to infectious etiology (ringworms, folliculitis, warts), and to local manifestations of a general disease (psoriasis, vitiligo, mycosis fungoides).


REFERENCES

  1. Lakjiri S, Meziane M, Elloudi S, Sy O, Nejjari C, Mernissi FZ. Les dermatoses génitales: profil épidémiologique et Clinique. Pan Afr Med J. 2014;18:240. doi: 10.11604/ pamj.2014.18.240.4797

  2. Saraswat PK, Garg A, Mishra D, Garg S. A study of pattern of nonvenereal genital dermatoses of male attending skin OPD at a tertiary care center. Indian J Sex Transm Dis AIDS. 2014;35(2):129– 34. doi: 10.4103/2589-0557.142408

  3. Peña Romero A G, Díaz González J. M, Domínguez Cherit J, Domínguez Soto L. Patología dermatológica genital. Dermatología Cosmética Médica y Quirúrgica. 2013;11(4):288–300.

  4. Michajłowski I, Sobjanek M, Michajłowski J, Włodarkiewicz A, Matuszewski M. Normal variants in patients consulted in the Dermatology Clinic for lesions of the male external genitalia. Cent European J Urol. 2012;65(1):17–20. doi: 10.5173/ceju.2012.01.art5

  5. Bunker C, Neill S. The genital, perianal and umbilical regions. In: Rook’s Textbook of Dermatology. 7th ed. Oxford: Blackwell Science; 2004. p. Oxford: Blackwell Science.

  6. Eichmann AR. Dermatoses of the male genital area. Dermatology. 2005;210(2):150–6. doi: 10.1159/000082571

  7. Rosen T. Update on genital lesions. JAMA. 2003;290(8):1001–5. doi: 10.1001/ jama.290.8.1001

  8. Brzezińska-Wcisło L, Szeremeta-Bazylewicz G, Lis A, Rogala-Poborska I, Suwała-Jurczyk B. Infectious non-venereal diseases affecting male and female external genital area. Pol Merkur Lekarski. 2003;14(83):468–71.

  9. Reed W H, Nickel W R, Winer L H. Noninfectious inflammatory and neoplastic disorders of the male genitalia. Calif med. 1964;100(3):180–5.

  10. Marren P, Wojnarowska F, Powell S. Allergic contact dermatitis and vulvar dermatoses. Br J Dermatol. 1992;126(1):52–6. doi: 10.1111/ j.1365-2133.1992.tb08403.x

  11. Bunker CB. Management of penile dermatoses. Expert Review of Dermatology. 2006;1(2):241– 60. doi: 10.1586/17469872.1.2.241

  12. Demaria Al, Flores M, Hirth Jm, Berenson Ab. Complications related to pubic hair removal. Am J Obstet Gynecol. 2014;210(6): 528.e1-528. e5. doi: 10.1016/j.ajog.2014.01.036

  13. Kaptanoglu AF, Duruk N. Depilatory cream vs. shaving: does it influence recurrences of genital warts? Dermatol Nurs. 2005;17(3):202–3.

  14. Tiggemann M, Hodgson SM. The Hairlessness Norm Extended: Reasons for and Predictors of Women’s Body Hair Removal at Different Body Sites. Sex Roles. 2008; 59:889–97. doi: 10.1007/ S11199-008-9494-3




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