0
Contempo Updates |

Update on Genital Lesions

Ted Rosen, MD
JAMA. 2003;290(8):1001-1005. doi:10.1001/jama.290.8.1001.
Text Size: A A A
Published online

Extract

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

Figures in this Article

Sign In to Access Full Content

Don't have Access?

Register and get free email Table of Contents alerts, saved searches, PowerPoint downloads, CME quizzes, and more

Subscribe for full-text access to content from 1998 forward and a host of useful features

Activate your current subscription (AMA members and current subscribers)

Purchase Online Access to this article for 24 hours

First Page Preview

View Large
First page PDF preview

Figures

Figure 1. White Macules of Lichen Sclerosus et Atrophicus and Vitiligo
Grahic Jump Location
A, Lichen sclerosus et atrophicus has premalignant potential. B, Vitiligo appears similar to lichen sclerosus et atrophicus but is solely of cosmetic concern.
Figure 2. Heavily Scaled Plaque of Reiter Syndrome
Grahic Jump Location
Heavily scaled plaque of Reiter syndrome closely resembles genital psoriasis, but tends to localize to the corona and coronal sulcus.
Figure 3. Deep Ulcerations Within 2 Days of Deliberate Bite
Grahic Jump Location
Ulcerations due to a bite wound will be less indurated but more painful than those due to neoplasia.
Figure 4. Benign Genital Melanosis
Grahic Jump Location
Benign genital melanosis consists of multiple foci of macular pigmentation separated by skip areas of healthy skin and often admixed with areas of moderate hypopigmentation. Malignant melanoma, however, will be substantive to palpation and may be eroded.
Figure 5. Extramammary Paget Syndrome
Grahic Jump Location
Extramammary Paget syndrome, an intraepithelial neoplasm of apocrine sweat gland origin, may be a sign of an underlying malignancy. The well-demarcated erythematous patch may closely simulate psoriasis (if scaling is prominent) or candidiasis (if crusting and erosion are prominent).

Tables

Interactive Graphics

Video

Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature

Use interactive graphics and maps to view and sort country-specific infant and early dhildhood mortality and growth failure data and their association with maternal

References

CME
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s “Cited By” API will populate this tab (http://www.crossref.org/citedby.html).
Submit a Response

Some tools below are only available to our subscribers or users with an online account.

Web of Science® Times Cited: 7

Sign In to Access Full Content

Related Content

Customize your page view by dragging & repositioning the boxes below.

Jobs