Browsing by Author "Morgaonkar, Manjaree"
Now showing 1 - 2 of 2
Results Per Page
Sort Options
Publication Lichen Planus Pigmentosus with Atypical Presentation- A Case Report(Society of Dermatologists, Venereologists and Leprologists of Nepal (SODVELON), 2023) Patankar, Akshay; Mane, Akshata A; Morgaonkar, ManjareeAbstract: Lichen planus pigmentosus (LPP) is a chronic pigmentary disorder that shows diffuse or reticulated hyperpigmented, dark brown macules and patches on the sun-exposed areas such as the face, neck and other flexural folds. Clinically, it is different from classical lichen planus because LPP has a longer clinical course and it manifests with dark brown macules. In case of LPP, involvement of the scalp, nail or mucosal area is rare. The histopathological findings of the lesions show an atrophic epidermis, the presence of melanophages and a vacuolar alteration of the basal cell layer with a sparse lymphohistiocytic lichenoid infiltration. Here we report a case of lichen planus pigmentosus over sun protected areas sparing sun exposed and flexural folds.Publication Unveiling the Giant: Understanding Large Vulvar Fibroepithelial Polyps: A Case Report with Review of Literature(Society of Dermatologists, Venereologists and Leprologists of Nepal (SODVELON), 2024) Malhotra, Priyanka; Morgaonkar, Manjaree; Shetty, Akash Ramakrishna; Rahangdale, VishwasAbstract: Fibroepithelial stromal polyps (FEPs), commonly known as acrochordons, are benign lesions of mesenchymal origin, typically found in the vulvovaginal area. Their growth is believed to be hormone-sensitive, often stimulated by hormonal changes, pregnancy, or prolonged hormone use, and they mostly occur in women of reproductive age. We present a case involving a 47-year-old woman with a large, painless, pedunculated mass on the right labia majora that progressively grew over a year. The patient had difficulty walking and refrained from intercourse due to the mass. Despite a previous hysterectomy, a pelvic ultrasound revealed no significant changes. Physical examination showed a soft, non-tender, hyperpigmented mass without signs of inflammation or ulceration. A dermatologist diagnosed it as a fibroepithelial polyp, confirmed by histopathological examination after excision. Differential diagnoses include aggressive angiomyxoma, angiomyofibroblastoma, sarcoma, and other conditions, clinical and histopathologic features can differentiate. Complete surgical excision is the preferred treatment to prevent recurrence, with cryotherapy or cauterization as alternatives for smaller polyps. Long-term follow-up is essential to monitor for recurrence.