DermAtlas: Online Dermatology Image Library dermatology image,prolapsed uterus,uterus, prolapsed,uterus, prolapsed,uterus, prolapsed,burn, chemical,Ex-Lax induced chemical burn,burn, chemical,nevus, genital,nevus, pigmented, atypical,nevus, genital,nevus, pigmented, atypical,lichen sclerosus et atrophicus

© 2001-2010, DermAtlas	*Image Name:*	PROLAPSED_Uterus_3_090828	*File Type:*	jpg
	*Diagnosis:*	PROLAPSED UTERUS / UTERUS, PROLAPSED	*Category:*	obstetrics (pregnancy related) and gynecology
	*Body Site:*	vulva (labia) / genital diaper area	*Age:*	66 years
	*Contributor:*	Liudmila Bedricovschi
	*Description:*	large pink mass with overlying scale and telangiectasias
	*Comments:*	This 66-year-old woman complained of heaviness, fullness or "falling out" in the vaginal area. The patient also complained of backache, inability to control urination and vaginal pain and bleeding. The cervix and vaginal epithelium became dry, scaly and ulcer. These findings are consistend with third-degree prolapse (sometimes referred to as total prolapse) when the entire uterus is outside the vagina. Treatment is surgical.
	*Related Images:*	All related Images PROLAPSED_Uterus_1_090828 PROLAPSED_Uterus_2_090828

© 2001-2010, DermAtlas	*Image Name:*	PROLAPSED_Uterus_2_090828	*File Type:*	jpg
	*Diagnosis:*	PROLAPSED UTERUS / UTERUS, PROLAPSED	*Category:*	obstetrics (pregnancy related) and gynecology
	*Body Site:*	vulva (labia) / genital diaper area	*Age:*	66 years
	*Contributor:*	Liudmila Bedricovschi
	*Description:*	large pink mass with overlying scale and telangiectasias
	*Comments:*	This 66-year-old woman complained of heaviness, fullness or "falling out" in the vaginal area. The patient also complained of backache, inability to control urination and vaginal pain and bleeding. The cervix and vaginal epithelium became dry, scaly and ulcer. These findings are consistend with third-degree prolapse (sometimes referred to as total prolapse) when the entire uterus is outside the vagina. Treatment is surgical.
	*Related Images:*	All related Images PROLAPSED_Uterus_1_090828 PROLAPSED_Uterus_3_090828

© 2001-2010, DermAtlas	*Image Name:*	PROLAPSED_Uterus_1_090828	*File Type:*	jpg
	*Diagnosis:*	PROLAPSED UTERUS / UTERUS, PROLAPSED	*Category:*	obstetrics (pregnancy related) and gynecology
	*Body Site:*	vulva (labia) / genital diaper area	*Age:*	66 years
	*Contributor:*	Liudmila Bedricovschi
	*Description:*	large pink mass with overlying scale and telangiectasias
	*Comments:*	This 66-year-old woman complained of heaviness, fullness or "falling out" in the vaginal area. The patient also complained of backache, inability to control urination and vaginal pain and bleeding. The cervix and vaginal epithelium became dry, scaly and ulcer. These findings are consistend with third-degree prolapse (sometimes referred to as total prolapse) when the entire uterus is outside the vagina. Treatment is surgical.
	*Related Images:*	All related Images PROLAPSED_Uterus_2_090828 PROLAPSED_Uterus_3_090828

© 2001-2010, DermAtlas	*Image Name:*	chemical_burn_1_090816	*File Type:*	jpg
	*Diagnosis:*	BURN, CHEMICAL / EX-LAX INDUCED CHEMICAL BURN	*Category:*	drug reaction / environmental injury
	*Body Site:*	buttock / genital vulva (labia) / diaper area	*Age:*	2 years
	*Contributor:*	Randy Cordle, MD
	*Description:*	large well-demarcated symmetric red patches with scattered bullae
	*Comments:*	This 2-year-old girl developed large diarrheal stools and a chemical burn on her buttocks, perineum, and genital area after getting into her mother's laxative medication. The night before she had eaten 5 Ex-Lax tablets (Sennosides chewable tablets, 25 mg). Chemical burns from diarrhea resulting from ingestion of laxatives was reported by the author in Pediatrics, July 22, 2009, pp 179-80. The report emphasizes the importance of distinguishing this process from non-accidental injuries caused by hot water.
	*Related Images:*	chemical_burn_2_090816

© 2001-2010, DermAtlas	*Image Name:*	chemical_burn_2_090816	*File Type:*	jpg
	*Diagnosis:*	BURN, CHEMICAL / EX-LAX INDUCED CHEMICAL BURN	*Category:*	drug reaction / environmental injury
	*Body Site:*	buttock / genital vulva (labia) / diaper area	*Age:*	2 years
	*Contributor:*	Randy Cordle, MD
	*Description:*	large well-demarcated symmetric red patches with scattered bullae
	*Comments:*	This 2-year-old girl developed large diarrheal stools and a chemical burn on her buttocks, perineum, and genital area after getting into her mother's laxative medication. The night before she had eaten 5 Ex-Lax tablets (Sennosides chewable tablets, 25 mg). Chemical burns from diarrhea resulting from ingestion of laxatives was reported by the author in Pediatrics, July 22, 2009, pp 179-80. The report emphasizes the importance of distinguishing this process from non-accidental injuries caused by hot water.
	*Related Images:*	chemical_burn_1_090816

© 2001-2010, DermAtlas	*Image Name:*	vulva_nevus_2_090401	*File Type:*	jpg
	*Diagnosis:*	NEVUS, GENITAL / NEVUS, PIGMENTED, ATYPICAL	*Category:*	neoplasm, melanocytic / neoplasm, benign
	*Body Site:*	vulva (labia)	*Age:*	10 years
	*Contributor:*	Greg Hosler, MD, PhD
	*Description:*	The melanocytic nests are large and expansile. They are located at all positions along the retia. There is the appearance of loss of cellular cohesion within the nests. Individual melanocytes are enlarged. Mitotic activity is not appreciated.
	*Comments:*	This 10 year old female presented with a pigmented papule on her vulva. A subset of genital nevi look unremarkable clinically but have atypical histologic features. This is well-described in the literature. Genital nevi include those on the labia, mons, perineum, penis and scrotum. The histologic features may mimic nodular melanoma. Often times, these nevi have large expansile nests, located at all positions along the retia. There is typically loss of cellular cohesion. There may be cytologic atypia, both epidermally and dermally. Rare mitoses may even be observed. Because it is rare for premenapausal women to develop vulvar melanoma, these features should be heavily scrutinized and the lesion excised if in doubt [J Cutan Pathol 2008;35:889-898].
	*Related Images:*	vulva_nevus_1_090401

© 2001-2010, DermAtlas	*Image Name:*	vulva_nevus_1_090401	*File Type:*	jpg
	*Diagnosis:*	NEVUS, GENITAL / NEVUS, PIGMENTED, ATYPICAL	*Category:*	neoplasm, melanocytic / neoplasm, benign
	*Body Site:*	vulva (labia)	*Age:*	10 years
	*Contributor:*	Greg Hosler, MD, PhD
	*Description:*	At low power, the epidermis is acanthotic and papillomatous. Thre is a cellular nevomelanocytic lesion, involving the epidermis and dermis. There is overall symmetry.
	*Comments:*	This 10 year old female presented with a pigmented papule on her vulva. A subset of genital nevi look unremarkable clinically but have atypical histologic features. This is well-described in the literature. Genital nevi include those on the labia, mons, perineum, penis and scrotum. The histologic features may mimic nodular melanoma. Often times, these nevi have large expansile nests, located at all positions along the retia. There is typically loss of cellular cohesion. There may be cytologic atypia, both epidermally and dermally. Rare mitoses may even be observed. Because it is rare for premenapausal women to develop vulvar melanoma, these features should be heavily scrutinized and the lesion excised if in doubt [J Cutan Pathol 2008;35:889-898].
	*Related Images:*	vulva_nevus_2_090401

© 2001-2010, DermAtlas	*Image Name:*	lichen_sclerosus_et_atrophicus_1_080819	*File Type:*	jpg
	*Diagnosis:*	LICHEN SCLEROSUS ET ATROPHICUS	*Category:*	atrophy / collagen vascular disease
	*Body Site:*	vulva (labia)	*Age:*	60 months
	*Contributor:*	Ben Hidalgo-Matlock, MD
	*Description:*	discrete and confluent atrophic hypopigmented papules and plaques with some lichenification
	*Comments:*	This 60-year-old woman complained of dyspareunia and vulvar pruritus.

© 2001-2010, DermAtlas	*Image Name:*	lichen_sclerosis_1_080902	*File Type:*	jpg
	*Diagnosis:*	LICHEN SCLEROSUS ET ATROPHICUS	*Category:*	collagen vascular disease / atrophy
	*Body Site:*	vulva (labia) / genital diaper area / perineum	*Age:*	6 years
	*Contributor:*	Bernard Cohen, MD
	*Description:*	symmetric hypopigmented atrophic confluent patches with some lichenification
	*Comments:*	This healthy 6-year-old girl complained of an itchy rash in the genital area for over a year. Her symptoms improved with the application of a high potency topical steroid.
	*Related Images:*	All related Images lichen_sclerosis_3_080902 lichen_sclerosis_2_080902

© 2001-2010, DermAtlas	*Image Name:*	lichen_sclerosis_2_080902	*File Type:*	jpg
	*Diagnosis:*	LICHEN SCLEROSUS ET ATROPHICUS	*Category:*	collagen vascular disease / atrophy
	*Body Site:*	vulva (labia) / genital diaper area / perineum	*Age:*	6 years
	*Contributor:*	Bernard Cohen, MD
	*Description:*	symmetric hypopigmented atrophic confluent patches with some lichenification
	*Comments:*	This healthy 6-year-old girl complained of an itchy rash in the genital area for over a year. Her symptoms improved with the application of a high potency topical steroid.
	*Related Images:*	All related Images lichen_sclerosis_3_080902 lichen_sclerosis_1_080902