[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-0-en-105":3,"doc-seo-208905-105":59,"doc-detail-208905-en":131},{"code":4,"msg":5,"data":6},0,"success",[7,13,18,23,28,33,38,43,48,51,55],{"id":8,"doc_module":4,"doc_module_name":9,"category_name":10,"show_sort_weight":11,"slug":12},1,"Document","Story & Novel",90,"story-novel",{"id":14,"doc_module":4,"doc_module_name":9,"category_name":15,"show_sort_weight":16,"slug":17},2,"Literature",80,"literature",{"id":19,"doc_module":4,"doc_module_name":9,"category_name":20,"show_sort_weight":21,"slug":22},4,"Exam",70,"exam",{"id":24,"doc_module":4,"doc_module_name":9,"category_name":25,"show_sort_weight":26,"slug":27},5,"Comic",60,"comic",{"id":29,"doc_module":4,"doc_module_name":9,"category_name":30,"show_sort_weight":31,"slug":32},6,"Technology",50,"technology",{"id":34,"doc_module":4,"doc_module_name":9,"category_name":35,"show_sort_weight":36,"slug":37},7,"Healthcare",40,"healthcare",{"id":39,"doc_module":4,"doc_module_name":9,"category_name":40,"show_sort_weight":41,"slug":42},8,"Research & Report",30,"research-report",{"id":44,"doc_module":4,"doc_module_name":9,"category_name":45,"show_sort_weight":46,"slug":47},9,"Religion & Spirituality",20,"religion-spirituality",{"id":46,"doc_module":4,"doc_module_name":9,"category_name":49,"show_sort_weight":46,"slug":50},"World Cup","world-cup",{"id":52,"doc_module":4,"doc_module_name":9,"category_name":53,"show_sort_weight":52,"slug":54},10,"Lifestyle","lifestyle",{"id":56,"doc_module":4,"doc_module_name":9,"category_name":57,"show_sort_weight":24,"slug":58},19,"General","general",{"code":4,"msg":60,"data":61},"ok",{"site_id":62,"language":63,"slug":64,"title":65,"keywords":66,"description":67,"schema_data":68,"social_meta":124,"head_meta":126,"extra_data":128,"updated_unix":130},105,"en","vulvar-vestibular-papillomatosis-case-report","Vulvar Vestibular Papillomatosis - Case Report","","Vulvar vestibular papillomatosis is an anatomical variant of the vulva whose recognition helps differentiate it from genital warts and prevents unnecessary treatment. A 29-year-old woman presented with skin-colored translucent papules on the vestibule and inner labia minora, present for two years and gradually enlarging, with pain during sex. A biopsy showed finger-like subdermal protrusions with normal mucosal epithelium and no koilocytes. 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Lesions were soft and non-tender.",{"name":120,"@type":111,"acceptedAnswer":121},"What did the biopsy show, and how did it confirm the diagnosis?",{"text":122,"@type":114},"The biopsy demonstrated finger-like protrusions of loosely arranged subdermal tissue with blood vessels covered by normal mucosal epithelium. No koilocytes were seen, confirming vulvar vestibular papillomatosis.","https://schema.org",{"og:url":83,"og:type":125,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":127,"canonical":83},"index,follow",{"doc_id":129,"site_id":62},208905,1788607112,{"code":4,"msg":5,"data":132},{"doc_id":129,"user_id":133,"nickname":92,"user_avatar":134,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":135,"file_id":136,"file_url":137,"file_type":138,"file_size":139,"view_count":105,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":81,"language":140,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":141,"faqs":142,"seo_title":143,"seo_description":67,"update_tm":130,"read_time":39},687197207639,"https://ap-avatar.wpscdn.com/davatar_a8503ba1806abce46bf441b54a3ca4cd","Case Report  \nDepartment of Dermatology and Allergology, Hospital Dresden-Friedrichstadt, Friedrichstrasse 41, 01067, Germany and Vadodara, India  \nAddress for correspondence: Dr. Shyam Verma, 18 Amee Society, Diwalipura, Next to Rajnigandha Apartments, Vadodara, India.  \nE-mail: vermaderma@ [rediffmail.com](rediffmail.com)  \nVulvar vestibular papillomatosis  \nU. Wollina, Shyam Verma  \nABSTRACT  \nVulvar vestibular papillomatosis is considered an anatomical variant of the vulva. Recognition of this condition enables one to distinguish it from warts and therefore avoid unnecessary therapy. A 29-year-old lady presented to this clinic with a history of ‘small growths’ in her vulva since two years. Examination identified skin colored translucent papules; some of them appeared digitate and were seen on the vestibule and inner aspect of both labia minora. They were soft to feel and non-tender. Few lesions looked like elongated pearly penile papules. A provisional diagnosis of vestibular papillomatosis was made and a biopsy was done. It showed finger-like protrusions of loosely arranged subdermal tissue with blood vessels and which were covered by normal mucosal epithelium. No koilocytes were seen and the diagnosis of vestibular papillomatosis was confirmed. We believe that this is the first case report of vulvar vestibular papillomatosis in Indian dermatologic literature.  \nDOI: 10.4103/0378-6323 .62971  \nKey words: First report, India, vulvar vestibular papillomatosis  \nINTRODUCTION  \nVulvar vestibular papillomatosis is an anatomical variant of the vulva. [1,2] In a prevalence study in London, UK, one per cent of women showed vestibular papillomatosis. [3] Other authors found prevalence rates between 5.1 to 33% . [4] From our experience with a multidisciplinary vulva clinic, the rate seems to be around 5%(unpublished observation) .  \nDue to its ‘wart like’ appearance, it is sometimes misdiagnosed as genital warts. This often leads to unwarranted and aggressive investigations and therapy. Therefore, dermatologists should be familiar with this condition. Vulvar vestibular papillomatosiscan be considered the female equivalent of pearly penile papules. [4]  \nCASE REPORT  \nA 29-year-old lady presented to this clinic with a history of ‘small growths’ in her vulva for two years. She had noticed multiple finger like elongated lesions on the vulva that were gradually increasing in size for the past two years. She also experienced pain during sex. She appeared to be very anxious and feared that the growths might be cancerous and therefore wanted  \ntreatment. She had seen two gynecologists and two dermatologists before attending our clinic and had treatments with podophyllin and cryosurgery on three occasions without any improvement of the condition.  \nOur patient was a healthy married nulliparous woman. She had a monogamous relationship with her husband with no history of any extramarital sexual contacts since marriage, four years ago. She also complained of an occasional thick white discharge, associated with recurrent itching. Examination identified a normal vulva except for the lesions she was complaining about. There were no vulval or vaginal ulcers. Examination identified skin colored translucent, papules some of which appeared digitate and were seen on the vestibule and inner aspect of both labia minora [Figure 1] . They were soft to feel and non-tender. Few lesions looked like elongated pearly penile papules. Some angiokeratomas were also seen on the labia adjacent to these lesions.  \nA provisional diagnosis of vulvar vestibular papillomatosis was made and a biopsy was done. It showed finger-like protrusions of loosely arranged subdermal tissue with blood vessels, which were covered by normal mucosal epithelium [Figure 2] . No koilocytes were seen and the diagnosis of vulvar  \nHow to cite this article: Wollina U, Verma S. Vulvar vestibular papillomatosis. Indian J Dermatol Venereol Leprol 2010;76:270-2 . Received: June, 2009. Accepted:","cbCaislbJXurmuzh","https://ap.wps.com/l/cbCaislbJXurmuzh","pdf",1280830,"English","# Abstract\n# Introduction\n# Case Report\n## Clinical presentation\n## Biopsy and diagnosis\n# Discussion","[{\"question\":\"Why is vulvar vestibular papillomatosis often mistaken for genital warts?\",\"answer\":\"Its “wart-like” appearance can lead clinicians to misdiagnose it as genital warts, which may trigger unwarranted and aggressive investigations and therapy.\"},{\"question\":\"What key findings were seen on examination in this case?\",\"answer\":\"Skin-colored translucent papules were identified on the vestibule and inner aspects of both labia minora; some appeared digitate and some resembled elongated pearly penile papules. Lesions were soft and non-tender.\"},{\"question\":\"What did the biopsy show, and how did it confirm the diagnosis?\",\"answer\":\"The biopsy demonstrated finger-like protrusions of loosely arranged subdermal tissue with blood vessels covered by normal mucosal epithelium. No koilocytes were seen, confirming vulvar vestibular papillomatosis.\"}]","Vulvar Vestibular Papillomatosis - Case Report | PDF"]