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Update on Genital Lesions
Ted Rosen, MD
JAMA. 2003;290:1001-1005.
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INTRODUCTION
The appearance of an external genital lesion may engender considerable anxiety in a patient. From the medical professional perspective, genital lesions pose serious diagnostic and therapeutic challenges. Genital skin can erode or ulcerate, develop dyschromia (hyperpigmentation or hypopigmentation) or erythema, and either thicken or atrophy in discrete or generalized fashions. However, genital lesions may result from many etiologies including sexually transmitted diseases (STDs), non-STD infectious agents, inflammatory cutaneous disorders, multisystem diseases, benign and malignant neoplasms, and exogenous (external) factors (Table 1).1
Table appears in full text version.
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Table. Genital Dermatoses*
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With the exception of lichen planus, genital lesions in men and women appear nearly identical. Many lesions are indistinguishable to the casual observer. For example, lichen sclerosus et atrophicus (LSA) and vitiligo may be nearly exact clinical mimics (Figure 1); however, the former has premalignant potential while the latter is solely of cosmetic concern. Distinguishing between one genital disorder . . . [Full Text of this Article]
Sexually Transmitted Diseases
Non-STD Infections
Inflammatory Dermatoses
Multisystem Diseases
Exogenous Factors
Tumors
Conclusion
Author Affiliations: Dermatology Service, Baylor College of Medicine, Houston Veterans Administration Medical Center, Houston, Tex.
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THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES
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