Anandhi, T K (2006) Non Venereal Lesions of Genitalia. Masters thesis, Madras Medical College, Chennai.
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Abstract
A number of dermatoses and skin tumors affect the genitalia in an unique (or) distinct manner that they warrant separate discussion. The normal characteristics of common dermatoses are modified on genitals. For most of them this may be the only one of the many sites involved while in others it may be predominantly confined to the genitalia. The features are frequently modified by moisture in local environment. The genital area differs between the sexes being the good example of regional human variation. There is a considerable variability in size, shape, pigmentation and amount of hair distribution. Moreover, perineal area is plentifully endowed with functional eccrine, non-functional apocrine sweat glands and holocrine sebaceous glands usually in association with hair follicles. In males natal cleft, perianal skin, distal penile shaft, prepuce and glans penis are devoid of hair. Circumcision an alter the incidence and appearance of dermatoses on the glans and corona. Rugose and thin skin of scrotum allows excellent penetration of topical agents. In males natal cleft, perianal skin, distal penile shaft, prepuce and glans penis are devoid of hair. Circumcision an alter the incidence and appearance of dermatoses on the glans and corona. Rugose and thin skin of scrotum allows excellent penetration of topical agents. In females vulva is the anterior portion of perineum within it are the clitoris, urethra and vagina. Vulva itself is subdivided into mons pubis, labia majora and labia minora. Medial aspect of labia majora is smooth and hairless with numerous sebaceous glands. Vulvar vestibule which extends between clitoris anteriorly to the posterior fourchette and laterally bounded by labia minora is the major site for inflammatory disorders. AIMS : 1. To study about the common dermatological disorders affecting the genitalia. 2. Age and sex relation ship of the genital dermatoses. 3. Clinical presentation of the genital dermatoses and confirmation by relevant histopathological and microbiological tests. CONCLUSION: 1. The common non venereal genital dermatoses in males in the order of frequency were vitligo, fungal infections, scabies and tumors whereas in females were vitiligo and fungal infections. 2. Other dermatoses were Lichen nitidus, Seborrheic dermatitis, Plasma cell balanitis, Hansen’s disease, Fournier’s gangrene, Filariasis, Paraphimosis, Molluscum contagiosum, Wart, Hidradinitis suppurativa, Neurofibroma, Follicultis , Fox Fordyce Disease and Mondor’s disease. 3. Sex ratio was found to be 4.7:1 (Male :Female). 4. Non venereal genital dermatoses were more common in males, seen in the age group of 31-40 years. Children less than 10 years (3.75%) and adults older than 60 years (1.25%) were the least affected groups. 5. Most of the patients (80%) presented for their gential lesions. 6. The commonest sites of involvement in males were scrotum (50%) followed by prepuce and shaft of penis(36%). In females labia majora (93%) followed by labia minora (57%) were found to be the commonly involved sites. 7. 45% of patients with genital dermatoses had associated skin lesions of the same condition. 8. The non venereal genital dermatoses had classical morphology and histopathology in almost 90% of cases. 9. Hence thorough knowledge about the classical morphology and histopathological features is essential for the accurate diagnosis and management.
| Item Type: | Thesis (Masters) |
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| Uncontrolled Keywords: | Non Venereal Lesions ; Genitalia. |
| Subjects: | MEDICAL > Dermatology Venereology and Leprosy |
| Depositing User: | Subramani R |
| Date Deposited: | 05 Jul 2017 00:31 |
| Last Modified: | 05 Jul 2017 08:11 |
| URI: | http://repository-tnmgrmu.ac.in/id/eprint/928 |
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