Acquired lymphangiectasia: a rare mimic of genital warts

Simeonovski, Viktor; Kostovski, Marko; Gjoric, Ivana; Damevska, Stefana; Peev, Igor

doi:10.5070/d32612051365

Cited by 2 publications

(5 citation statements)

References 11 publications

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“…Similarly, in our patient, the lesions had a verrucous and hyperkeratotic appearance and the diagnosis of warts was suspected at first. This unusual presentation resembling warts has been reported previously on the vulva 7 . One case of verruca vulgaris restricted to skin traumatized by RT was reported 8 .…”

Section: What's Your Diagnosis?supporting

confidence: 62%

“… 3 , 5 , 6 Occasionally, they may become pedunculated lesions, hyperpigmented macules and lesions with a verrucous surface that may be mistaken for viral warts. 7 Similarly, in our patient, the lesions had a verrucous and hyperkeratotic appearance and the diagnosis of warts was suspected at first. This unusual presentation resembling warts has been reported previously on the vulva.…”

Section: What's Your Diagnosis?supporting

confidence: 58%

“…Lesions typically occur on a background of existing lymphoedema 3,5,6 . Occasionally, they may become pedunculated lesions, hyperpigmented macules and lesions with a verrucous surface that may be mistaken for viral warts 7 . Similarly, in our patient, the lesions had a verrucous and hyperkeratotic appearance and the diagnosis of warts was suspected at first.…”

Section: What's Your Diagnosis?mentioning

confidence: 50%

“…This unusual presentation resembling warts has been reported previously on the vulva. 7 One case of verruca vulgaris restricted to skin traumatized by RT was reported. 8 In atypical cases, biopsy may be required.…”

Section: What's Your Diagnosis?mentioning

confidence: 99%

See 3 more Smart Citations

Multiple asymptomatic papules following breast cancer treatment

Kouki

Sellami

Bahloul

et al. 2022

Clinical Case Reports

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Section: What's Your Diagnosis?supporting

confidence: 62%

Section: What's Your Diagnosis?supporting

confidence: 58%

Section: What's Your Diagnosis?mentioning

confidence: 50%

Section: What's Your Diagnosis?mentioning

confidence: 99%

See 2 more Smart Citations

Multiple asymptomatic papules following breast cancer treatment

Kouki

Sellami

Bahloul

et al. 2022

Clinical Case Reports

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show abstract

“…No additional articles were identified based on a search of article references. Ultimately, 78 articles, 1,3–79 comprising a total of 133 patients, met the eligibility criteria and were included in this qualitative analysis. Articles were published between 1979 and 2022.…”

Section: Resultsmentioning

confidence: 99%

Acquired vulvar lymphangioma: risk factors, disease associations, and management considerations: a systematic review

Duong

Balfour

Kraus

2023

International Journal of Women’s Dermatology

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Background: Acquired vulvar lymphangioma (AVL) is not well-characterized. Diagnosis is delayed and the condition is often refractory to therapy.Objective: The objective of this study was to provide a systematic review of AVL including risk factors, disease associations, and management options.Methods: A primary literature search was conducted using 3 databases: PubMed, CINAHL, and OVID, from all years to 2022.Results: In total, 78 publications with 133 patients (48 ± 17 years) were included. Most studies were case reports/series. The most common disease association was prior malignancy (70 patients, 53% of cases) and inflammatory bowel disease (6 patients, 5% of cases). The most common malignancy was cervical cancer (57 patients, 43% of cases). Most patients had prior radiation or surgery, with 36% (n = 48) treated with radiation, 30% (n = 40) with lymph node dissection, and 27% (n = 36) with surgical resection. Common presenting symptoms included discharge/oozing, pain, and pruritus. Most patients underwent surgical treatment for AVL with 39% treated with excision, 12% with laser therapy (the majority used CO 2 ), and 11% with medical therapies. Most patients had failed prior therapies and there was a diagnostic delay.Limitations: Retrospective nature. Most studies were limited to case reports and case series, with interstudy variability and result heterogeneity. Conclusion:AVL is an underrecognized entity and should be considered in patients with a history of malignancy or radiation to the urogenital area. Treatment should include multidisciplinary care and address underlying lymphatic changes, manage any existing inflammatory conditions, and utilize skin-directed therapies and barrier agents while addressing symptoms of pruritus and pain. Prospective studies are needed to further characterize AVL and develop treatment guidelines.

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Acquired lymphangiectasia: a rare mimic of genital warts

Cited by 2 publications

References 11 publications

Multiple asymptomatic papules following breast cancer treatment

Multiple asymptomatic papules following breast cancer treatment

Acquired vulvar lymphangioma: risk factors, disease associations, and management considerations: a systematic review

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