Clinical Research on Non-Venereal Genital Dermatoses in Adult Males at Bihar State
Authors/Creators
- 1. Associate Professor, Department of Skin & V D, Lord Buddha Koshi Medical College and Hospital, Saharsa, Bihar, India
Description
Aim: A clinical study on non-venereal genital dermatoses in adult males at a tertiary care center. Methods: The prospective analytical study was conducted in the Department of skin and VD for one year. A total of consecutive 100 male patients with genital lesions of non-venereal origin were included in this study. All male patients >18 years of age who presented with genital complaints were screened for non-venereal dermatoses. The external genitalia was examined, and findings were noted. A detailed physical examination was done to see any associated lesions elsewhere in the body. Investigations such as Gram‑stain, KOH mount, venereal disease research laboratory test, HIV test and histopathological examination were done as and when required establishing the diagnosis. Results: Most patients belong to the age group of 20‑30 years (45%), followed by the age group of 30‑40 years (22%). 75 patients (75%) were from the urban area while 25 patients (25%) belong to rural background. 57 (57%) patients were married and the remaining 43 (43%) patients were unmarried. Scrotum was involved in 62% and penis in 30% while both scrotum and penis were affected in 8% cases.28 % patients were farmers while 18% patients were students. A total of 16 types of non-venereal dermatoses were noted in this study. The most common disorder was vitiligo present in 20 cases, followed by pearly penile papule, which accounted for 15 cases. The other disorder encountered included fixed drug eruption (FDE) in 13; scabies in 8, scrotal dermatitis and lichen planus in 8 cases each etc. Conclusion: Contrary to normal belief all the lesions on genitalia are not sexually transmitted. It is very important to distinguish between venereal and non-venereal genital dermatoses, as these non-venereal disorders are a considerable concern to patients causing mental distress and feeling of guilt.
Abstract (English)
Aim: A clinical study on non-venereal genital dermatoses in adult males at a tertiary care center. Methods: The prospective analytical study was conducted in the Department of skin and VD for one year. A total of consecutive 100 male patients with genital lesions of non-venereal origin were included in this study. All male patients >18 years of age who presented with genital complaints were screened for non-venereal dermatoses. The external genitalia was examined, and findings were noted. A detailed physical examination was done to see any associated lesions elsewhere in the body. Investigations such as Gram‑stain, KOH mount, venereal disease research laboratory test, HIV test and histopathological examination were done as and when required establishing the diagnosis. Results: Most patients belong to the age group of 20‑30 years (45%), followed by the age group of 30‑40 years (22%). 75 patients (75%) were from the urban area while 25 patients (25%) belong to rural background. 57 (57%) patients were married and the remaining 43 (43%) patients were unmarried. Scrotum was involved in 62% and penis in 30% while both scrotum and penis were affected in 8% cases.28 % patients were farmers while 18% patients were students. A total of 16 types of non-venereal dermatoses were noted in this study. The most common disorder was vitiligo present in 20 cases, followed by pearly penile papule, which accounted for 15 cases. The other disorder encountered included fixed drug eruption (FDE) in 13; scabies in 8, scrotal dermatitis and lichen planus in 8 cases each etc. Conclusion: Contrary to normal belief all the lesions on genitalia are not sexually transmitted. It is very important to distinguish between venereal and non-venereal genital dermatoses, as these non-venereal disorders are a considerable concern to patients causing mental distress and feeling of guilt.
Files
IJTPR,Vol13,Issue6,Article45.pdf
Files
(411.9 kB)
| Name | Size | Download all |
|---|---|---|
|
md5:067c4386cf1bc9e0c3e2052ca4e8cd20
|
411.9 kB | Preview Download |
Additional details
Dates
- Accepted
-
2023-06-28
Software
References
- 1. Andreassi L, Bilenchi R. Non‑infectious inflammatory genital lesions. Clin Dermatol 201 4; 32:307-14. 2. Fitzpatrick JA, Gentry RM. Non-venereal diseases of male external genitalia. In: Moschella SL, Hurley HJ, editors. Dermatology. 3rd ed. I. Philadelphia: WB Saunders Company; 1992: 1008–15. 3. Neerja Puri, Asha Puri: A study on nonvenereal genital dermatoses in north India. Our Dermatol Online. 2013;4(1): 304-7 4. Hillman RJ, Walker MM, Harris JR, Taylor‑ Robinson D. Penile dermatoses: A clinical and histopathological study. Genitourin Med 1992; 68:166‑9. 5. Bunker CB, Neill SM. The genital, perianal and umbilical regions. In: Burns T, Breathnach S, Cox N, Griffiths C, editors. Rook's Textbook of Dermatology. 7th ed. Oxford: Blackwell Science; 2004; 68.1‑104. 6. Acharya KM, Ranpara H, Sakhia JJ, Kaur C. A study of 200 cases of genital lesions of non‑ venereal origin. Indian J Dermatol Venereol Leprol 1998; 64:68‑70. 7. Karthikeyan KE, Jaishankar TJ, Thappa DM. Non‑venereal dermatoses of male genital region‑prevalence and pattern in a referral centre in South India. Indian J Dermatol 2001; 46:18‑ 22. 8. Khoo LS, Cheong WK. Common genital dermatoses in male patients attending a public sexually transmitted disease clinic in Singapore. Ann Acad Med Singapore 1995;24:505‑ 9. 9. Sonnex C, Dockerty WG. Pearly penile papules: A common cause of concern. Int J STD AIDS 1999; 10:726‑7. 10. Puri N, Puri A. A study of non‑venereal genital dermatoses in North India. Our Dermatol Online 2013; 4:304‑7. 11. Ramam M, Khaitan BK, Singh MK, Gupta SD Frictional sweat dermatitis. Contact Dermatitis 1998; 38:49. 12. Bauer A, Geier J, Elsner P. Allergic contact dermatitis in patients with anogenital complaints. J Reprod Med 2000; 45:649‑54. 13. Hindson TC. Studies in contact dermatitis. Trans St Johns Hosp Dermatol Soc 1966; 52:1 ‑9. 14. Powell JJ, Wojnarowska F. Lichen sclerosus. Lancet 1999; 353:1777‑83. 15. Zoon JJ. Balanitis and vulvitis plasma cellularis. Dermatologica 1955; 111:157.