Source: Genital Dermatology Atlas 2011
Intention: link to images
1 Genital Anatomy 1
- Female Genitalia 1
- Male Genitalia 7
2 Principles of Genital Diagnosis and Therapy. 11
- General Principles of Diagnosis 11
- General Principles of Therapy 14
- General Considerations 14
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3 Diagnostic and Therapeutic Procedures. 21
- Diagnostic Procedures 21
- Therapeutic Procedures 29
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4 Genital Pruritus and the Eczematous Diseases 31
- Idiopathic (“Essential”) Pruritus 31
- Atopic Dermatitis and Lichen Simplex Chronicus 32
- Irritant Contact Dermatitis 38
- Allergic Contact Dermatitis 41
- Seborrheic Dermatitis and Intertrigo 43
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5 Genital Pain Syndromes 46
- Causes of Genital Pain 46
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6 Red Plaques and Patches . 57
- Atopic Dermatitis, Eczema, and Lichen Simplex Chronicus 57
- Contact Dermatitis 57
- Seborrheic Dermatitis 60
- Psoriasis 62
- Tinea Cruris (Jock Itch) 67
- Erythrasma 69
- Candidiasis 70
- Perianal Streptococcal Disease (Perianal Streptococcal Cellulitis) 73
- Lichen Planus 73
- Pityriasis Rosea 76
- Pityriasis (Tinea) Versicolor 76
- Plasma Cell Mucositis (Plasma Cell Vulvitis and Balanitis, Zoon Mucositis, Vulvitis, and Balanitis Circumscripta Plasmacellularis) 77
- Vestibulodynia (Vulvar Vestibulitis Syndrome, Vestibular Adenitis) 79
- Red Scrotum Syndrome 79
- Extramammary Paget Disease 80
- Intraepithelial Neoplasia (Bowen Disease, Squamous Cell Carcinoma in Situ, and Erythroplasia of Queyrat) 81
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7 Red Papules and Nodules 84
- Folliculitis 84
- Keratosis Pilaris 84
- Nodular Scabies 85
- Miscellaneous Bites and Infestations 86
- Cherry Angioma 87
- Angiokeratoma 87
- Prurigo Nodularis (Picker’s Nodule) 88
- Pyogenic Granuloma 89
- Urethral Caruncle 90
- Urethral Prolapse 90
- Vulvar Endometriosis 91
- Hematoma 91
- Hidradenoma Papilliferum (Mammary-Like Gland Adenoma) 92
- Kaposi Sarcoma 92
- Pseudowarts (Diaper Dermatitis of Jacquet, Granuloma Gluteale Infantum) 93
- Furunculosis 93
- Inflamed Cysts 94
- Hidradenitis Suppurativa (Acne Inversa) 95
- Miscellaneous Red Papules and Nodules 98
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8 Yellow and Pustular Lesions . 101
- True Pustular Diseases 101
- Solid Lesions That Sometimes Appear Pustular 114
- Other Diseases That Can Appear Yellow or Produce Crusting 118
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Erosive and Vesiculobullous Diseases . 121
- Noninfectious Inflammatory Dermatoses That Sometimes Erode 121
- Primary Blistering or Pustular Infections 128
- Noninfectious Blistering Eruptions 135
- Pseudovesicular Conditions 149
- Malignancies Presenting As Erosions 151
- Genital Skin Fold Fissures 152
- Posterior Fourchette Vulvar Fissures 154
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10 Ulcers 158
- Syphilis 158
- Chancroid 160
- Genital Herpes in Immunosuppressed Individuals 162
- Granuloma Inguinale (Donovanosis) 164
- Lymphogranuloma Venereum 166
- Epstein–Barr Virus and Cytomegalovirus-Associated Ulcers 166
- Aphthous Ulcer and Complex Aphthosis 166
- Behçet Disease 169
- Aphthous-Like Ulcers Associated with Viral Infections 170
- Aphthous-Like Ulcers Associated with Medications 170
- Crohn Disease 171
- Pyoderma Gangrenosum 173
- Ulcers Due to External Trauma 174
- Miscellaneous Ulcers 176
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11 White Lesions 178
- White Patches and Plaques 178
- White Papules and Nodules 194
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12 Skin-Colored Lesions 197
- Genital Warts 197
- Molluscum Contagiosum 202
- Condyloma Latum 205
- Lymphogranuloma Venereum 206
- Epidermal Cysts (Epidermoid Cysts) 206
- Mucinous Vestibular Cysts 207
- Cysts of the Median Raphe 208
- Pilonidal Sinus (Pilonidal Cyst) 208
- Bartholin Cysts and Abscesses 208
- Skin Tag (Acrochordon, Fibroepithelial Polyp) 209
- Intradermal Nevi (Dermal Nevi) 210
- Neurofibroma 210
- Lipoma 210
- Pearly Penile Papules 210
- Vulvar Vestibular Papillomatosis 211
- Fordyce Spots and Sebaceous Gland Hyperplasia 211
- Tyson Glands 212
- Fox–Fordyce Disease 212
- Hidradenoma Papilliferum (Mammary-Like Gland Adenoma) 213
- Lichen Nitidus 213
- Sclerosing Lymphangitis of the Penis 214
- Squamous Carcinoma in Men 214
- Squamous Cell Carcinoma in Women 217
- Basal Cell Carcinoma 220
- Genital Edema 222
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13 Pigmented Disorders 228
- Physiologic Hyperpigmentation 228
- Acanthosis Nigricans 228
- Postinflammatory Hyperpigmentation 229
- Seborrheic Keratoses 231
- Pigmented Warts 231
- Genital Intraepithelial Neoplasia 232
- Pigmented Basal Cell Carcinoma 232
- Angiokeratomas 232
- Kaposi Sarcoma 233
- Genital Varicosities 233
- Genital Melanosis (Lentiginosis) 234
- Melanocytic Nevus (Mole, Pigmented Nevus) 236
- Melanoma 240
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14 Pediatric Genital Disease 245
- Normal Genitalia 245
- Congenital Abnormalities 246
- Red Plaques and Papules 249
- Skin-Colored Lesions 263
- White Lesions 264
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15 Vaginitis and Balanitis 268
- Vaginitis 268
- Balanitis 283
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16 Special Issues in Genital Dermatology: Psychosexual Matters, Concerns of Immunosuppression, and Aging 289
- Psychological Issues 289
- Psychosocial Dysfunction May Cause Disease 289
- Psychosocial Dysfunction Influences the Course of Disease 291
- Psychosocial Dysfunction Occurs as a Result of Disease 292
- Immunosuppression 293
- Infections 293
- Noninfectious Inflammatory Diseases Associated with HIV 300
- Neoplastic Diseases 303
- Geriatric Issues 305
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Appendix A Classification of Genital Disorders 311
- The Rationale for Classification 311
- Approaches Used for Classification 311
- Our Preferred Approach for Classification 311
- Alternative Classifications 312
- ISSVD Classification of Vulvodynia (2003) 312
- ISSVD Classification of Squamous Cell Vulvar Intraepithelial Neoplasia (2004) 312
- ISSVD Classification of Vulvar Dermatoses (2006) 313
Appendix B Patient Education Handouts 315
- Atrophic Vagina and Atrophic Vaginitis 315
- Candida (Yeast) Vaginitis 316
- Desquamative Inflammatory Vaginitis 317
- Hidradenitis Suppurativa 318
- Lichen Planus 319
- Lichen Sclerosus 320
- Genital Lichen Simplex Chronicus (Eczema, Neurodermatitis, and Dermatitis) 322
- Physiologic Vaginal Secretions (Physiologic Vaginal Discharge) 323
- Vulvar Care 324
- Vulvodynia/Vestibulodynia/Vestibulitis 325