Vulvar vestibular papillomatosis: All genital lesions are not sexually transmitted diseases

Deeptara Pathak Thapa

doi:10.7241/ourd.2021e.43

Abstract

Vulvar vestibular papillomatosis (VVP) is considered as normal anatomical variant of the vulva. A 19-year-old female presented with asymptomatic pinkish filliform papules symmetrically distributed on vulva. She denied having any sexual exposure. Clinical differential diagnosis included genital wart and vestibular papillomatosis, however biopsy was consistent with Vestibular papillomatosis. PAS stain was negative. Application of 5% acetic acid did not show any change in color. We report this case to create awareness about normal variant of vulva and unnecessary exaggerated treatment and proper counseling of patient to decrease psychological trauma and associated venereophobia.

Highlights

Vulvar vestibular papillomatosis (VVP) is known to be a normal anatomical variant of the vulva [1]
In the past there are studies which quoted rare association of VVP with human papilloma virus but recently studies have found no relation of Human papilloma virus (HPV) with VVP [2,3]
VVP have been called with different names in the literature, such as hirsutoid papiloma of vulva, vulvar squamous papillomatosis, micropapillomatosis labialis and squamous vestibular micropapilloma [6]

Summary

Introduction

Vulvar vestibular papillomatosis (VVP) is known to be a normal anatomical variant of the vulva [1]. In the past there are studies which quoted rare association of VVP with human papilloma virus but recently studies have found no relation of HPV with VVP [2,3]. Vulvar Vestibular papillomatosis (VVP) are considered the female equivalent of pearly penile papules [5]. VVP have been called with different names in the literature, such as hirsutoid papiloma of vulva, vulvar squamous papillomatosis, micropapillomatosis labialis and squamous vestibular micropapilloma [6].

Results

Conclusion