Abstract

Objectives: To evaluate the clinical and dermoscopic features of different vulvar diseases. To show our experience during the everyday practice referring the dermoscopic use for different condition of vulva and genital area in females. Introduction: During everyday practice, we perform different procedures to rejuvenate and treat different conditions of female genital area. Any aesthetic rejuvenation or treatment protocol must first begin with an accurate diagnosis of the various diseases affecting this area. Dermoscopic knowledge are becoming a must nut just for dermatologist but either for every doctor. Materials / method: Female patients diagnosed and treated in our clinic for aesthetic rejuvenation or skin diseases of the genital area during the years 2020-2023 were included in the presentation. A total of 125 patients were diagnosed and treated for vulvar and genital disorders. We divided the manifestations into five groups based on distinct clinical and dermoscopic features: inflammatory diseases, vascular diseases, tumors, infectious diseases, and others. Results: In our group of patients ( 125 patients) the most common disorder of the genital area was vulvar melanosis followed by inflammatory diseases (psoriasis and lichen). On dermoscopy, vulvar melanosis presented as a single or several patches with a "parallel-line pattern" and a consistent brown color. Vulvar psoriasis showed dotted vessels spaced regularly inside a well-defined erythematous patch on dermoscopy, while short linear vessels and structureless white areas were characteristic of most genital lichen cases. Conclusion: Physicians who undertake aesthetic procedures on the genital region must have a thorough understanding of the clinic and dermoscopy characteristics of various disorders that impact this area.