TY - CHAP M1 - Book, Section TI - Genital Lesions in Women A1 - Rosen, Theodore A1 - Doherty, Christy B. A2 - Kelly, A. Paul A2 - Taylor, Susan C. A2 - Lim, Henry W. A2 - Serrano, Ana Maria Anido Y1 - 2016 N1 - T2 - Taylor and Kelly's Dermatology for Skin of Color, 2e AB - KEY POINTSGenital lesions may have a unique appearance in skin of color, and the appearance may vary between men and women.Genital lesions are difficult to diagnose based solely on morphology.Genital dermatoses may occur only on the genitals or may occur anywhere on the body, and lesions may have a different appearance when found on genital skin than when seen elsewhere on the body.Most recently, overall rates of primary and secondary syphilis were higher among darker skin of color Americans and Hispanics than among Caucasian Americans, although rates decreased among darker skin of color American females.Most women are unaware of the primary chancre. Cervical, anal, and oral lesions are possible, although extragenital chancres are apparently less common in darker skin of color individuals.Darker skin of color American patients, especially women, are reportedly more likely to develop condylomata lata in secondary syphilis than Caucasian Americans.The annular syphilid (round facial lesions located near orifices) is nearly unique to darker skin of color individuals.Vulvar contact dermatitis may present with edema, vesicles or bullae, erythema, and weeping. Patients with darker skin of color may show hyperpigmentation instead of erythema.The physician may need to perform additional studies, including biopsies, when evaluating genital lesions. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/04/19 UR - dermatology.mhmedical.com/content.aspx?aid=1161548039 ER -