RT Book, Section
A1 Rosen, Theodore
A1 Doherty, Christy B.
A2 Kelly, A. Paul
A2 Taylor, Susan C.
A2 Lim, Henry W.
A2 Serrano, Ana Maria Anido
SR Print(0)
ID 1161548039
T1 Genital Lesions in Women
T2 Taylor and Kelly's Dermatology for Skin of Color, 2e
YR 2016
FD 2016
PB McGraw-Hill Education
PP New York, NY
SN 9780071805520
LK dermatology.mhmedical.com/content.aspx?aid=1161548039
RD 2025/03/24
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.