My Clinical Notes

Vulval papillomatosis

• Lesions resemble condyloma (genital wart) but most are HPV negative
• At the central margin of the vestibule frond-like projections may be seen
• May be normal anatomical variant
• Soft, whereas warts are hard

 

Fibroepithelial polyps

• Also know as skin tags or acrochordon
• Small, soft, common, benign, usually pedunculated neoplasm
• More common in the obese

 

Fordyce’s spots

Small, painless, raised white spots on the shaft of the penis or labia

Form of ectopic sebaceous gland

 

 

Behcets disease

 

• Recurrent multifocal disorder
• Immune medicated, associated in particular with HLA-B51
• Most common onset in the thirties
• Male predominance
• Racial predilection for individual from the middle east and japan
• Diagnostic criteria
  • Recurrent oral ulcers – minor/major aphthous ulcers and herpetiform ulcers
  • Recurrent genital ulceration – major/minor aphthous ulcers and herpetiform ulcers, occurs mostly in females. Can result in dysuria or dyspareunia
  • Eye lesions – uveitis, vasculitis
  • Skin lesions – pustular lesions, erythema nodosum
• Additional features
  • Neurological features – brain stem syndromes, spinal cord involvement, meningomyelitis, meningoencephalitis
  • Arthritis/ arthralgia
  • Vascular lesions – thrombophlebitis of leg veins, ascribed to decreased plasma fibrinolytic activity

 

Aphthous Ulcers

 

• Also called canker ulcers
• Ulceration of the mucosal epithelium
• Appears to be immune mediated – T cells
• Minor aphthous ulcers are yellow/grey ulcers, less than 10mm in diameter erythematous surround. Tend to heal without scarring after 7-10 days
• Major aphthous ulceration are greater than 10mm in diameter and are very painful and frequently scar

 

This entry was posted on Sunday, September 30th, 2007 at 1:31 pm and is filed under Gynaecology/Obstetrics. You can follow any responses to this entry through the RSS 2.0 feed. You can leave a response, or trackback from your own site.