The Role of Dermatoscopy to Differentiate Vestibular Papillae from Condyloma Acuminate in a Pregnant Woman

Abstract

The vestibular papillae (VP) represent an anatomical variant of the normal genital epithelium and are probably the female equivalent of pearly penile papules. It is thought that they are present in 1% of women, and this low percentage may be due to their lack of knowledge by practitioners since their diagnosis are often wrongly spotted as condyloma acuminates warts and this can lead to aggressive investigations, therapy, and anxiety in patients hence the role of dermoscopy. Here, we present a case with 39 weeks of pregnancy, who is planned to undergo cesarean section due to a wrong diagnosis of genital warts. Dermoscopy was performed to differentiate VP from condyloma and the patient gave birth vaginally without any problem. A correct diagnosis of vestibular papillomatosis prevents aggressive investigations and unnecessary therapies. Therefore, it is worthwhile to draw the attention of dermatologists to this entity.