A cross-sectional study of the clinical patterns and etiological spectrum of non-venereal genital dermatoses in adult males

Devanand; Dr Sasi S; Ashwak

doi:10.51168/vt323v37

Autori

Devanand Assistant Professor, Department of Dermatology and STD, PSP Medical College Hospital and Research Institute, Panrutti, Kanchipuram, Tamil Nadu, India
Dr Sasi S Senior Resident, Department of Dermatology and STD, Anna Gowri Medical College and Hospital, Puttur, Tirupati District, Andhra Pradesh, India
Ashwak Associate Professor, Department of Dermatology and STD, PSP Medical College Hospital and Research Institute, Panrutti, Kanchipuram, Tamil Nadu, India

DOI:

https://doi.org/10.51168/vt323v37

Cuvinte cheie:

Non-Venereal Genital Dermatoses, male genitalia, scabies, vitiligo, genital dermatology, cross-sectional study

Rezumat

Background

Non-venereal genital dermatoses (NVGDs) can mimic sexually transmitted infections and cause diagnostic and psychosocial concerns. This study described the clinical and etiological spectrum of NVGDs among adult males.
Methods

A hospital-based cross-sectional descriptive study was conducted from June 2022 to August 2023 among adult males attending the dermatology outpatient department with non-venereal genital lesions. Clinical examination and relevant laboratory investigations were used for diagnosis.

Results

Among 382 men presenting with genital lesions, 166 had venereal disorders and were excluded; 216 patients with NVGDs were included. Mean age was 36.9 ± 13.9 years, and the 26–35-year group accounted for 27.8% of cases. Scabies was the most frequent dermatosis (56, 26%), followed by vitiligo (37, 17.2%) and candidal balanoposthitis (24, 11.2%). Students constituted 31% of patients. A single genital site was involved in 68%, with the scrotum being the most frequently involved site (120 patients). Genital involvement alone occurred in 53%, while 47% had associated extragenital lesions. Infections and infestations formed the largest etiological category (90, 41%). One case each of erythroplasia of Queyrat and penile squamous cell carcinoma was identified.

Conclusion

Non-venereal genital dermatoses showed a broad clinical and etiological spectrum, with scabies being the most frequent diagnosis and infections and infestations representing the largest etiological group. Careful genital and extragenital examination, targeted investigations when indicated, and appropriate counselling are important for accurate diagnosis and differentiation from sexually transmitted disease.

Biografii autori

Devanand, Assistant Professor, Department of Dermatology and STD, PSP Medical College Hospital and Research Institute, Panrutti, Kanchipuram, Tamil Nadu, India

is an Assistant Professor in the Department of Dermatology and STD. He holds MBBS, MD and DNB (DVL) qualifications.
Dr Sasi S, Senior Resident, Department of Dermatology and STD, Anna Gowri Medical College and Hospital, Puttur, Tirupati District, Andhra Pradesh, India

is a Senior Resident in the Department of Dermatology and STD. He holds MBBS and MD (DVL) qualifications.
Ashwak, Associate Professor, Department of Dermatology and STD, PSP Medical College Hospital and Research Institute, Panrutti, Kanchipuram, Tamil Nadu, India

is an Associate Professor in the Department of Dermatology and STD. He holds MBBS and MD (DVL) qualifications.

Referințe

1. Puri N, Puri A. A study on non-venereal genital dermatoses in North India. Our Dermatol Online. 2013;4(1):304–307. doi:10.7241/ourd.20124.66.

2. Himaja N, Bharathi G, Usha G. A clinical study on patterns of genital dermatoses in adult males in a tertiary care hospital in South India. IOSR J Dent Med Sci. 2018;17(1):11–13. doi:10.9790/0853-1701131113.

3. Priya BT, Muthupandian V, Alagar K, Kannan R. A retrospective study on the incidence of non-venereal genital dermatoses in patients attending STI clinic at a tertiary care centre. Int J Res Dermatol. 2017;3(2):254–260. doi:10.18203/issn.2455-4529.IntJResDermatol20172207.

4. Khoo LS, Cheong WK. Common genital dermatoses in male patients attending a public sexually transmitted disease clinic in Singapore. Ann Acad Med Singapore. 1995;24(4):505–509.

5. Rajakumari DRS, Sudha DR. A descriptive study on non-venereal dermatoses of male genitalia. Glob J Res Anal. 2018;7(4):64–66.

6. Hogade AS, Mishra S. A study of pattern of nonvenereal genital dermatoses of male attending skin OPD of tertiary centre in Kalaburagi. Int J Res Dermatol. 2017;3(3):407–410. doi:10.18203/issn.2455-4529.IntJResDermatol20173922.

7. Shinde G, Popere S. A clinical study of non-venereal genital dermatoses of adult in a tertiary care center. Int J Biomed Adv Res. 2017;8(4):168–173. doi:10.7439/ijbar.v8i4.4111.

8. Karthikeyan KE, Jaisankar TJ, Thappa DM. Non-venereal dermatoses of male genital region-prevalence and pattern in a referral centre in South India. Indian J Dermatol. 2001;46(1):18–22.

9. Saraswat PK, Garg A, Mishra D, Garg S. A study of pattern of nonvenereal genital dermatoses of male attending skin OPD at a tertiary care center. Indian J Sex Transm Dis AIDS. 2014;35(2):129–134. doi:10.4103/0253-7184.142408.