Vulval Elephantiasis: A Case Report

Introduction. Elephantiasis is a chronic manifestation of filariasis; it commonly affects limbs, scrotum, and trunk. Females have lower incidence of filarial infection. Vulval elephantiasis due to filariasis is still rarer. It is difficult to make the diagnosis on histopathology alone, more so in vi...

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Main Authors: Harsh Mohan, Bhumika Bisht, Poonam Goel, Geeta Garg
Format: Article
Language:English
Published: Wiley 2012-01-01
Series:Case Reports in Infectious Diseases
Online Access:http://dx.doi.org/10.1155/2012/430745
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author Harsh Mohan
Bhumika Bisht
Poonam Goel
Geeta Garg
author_facet Harsh Mohan
Bhumika Bisht
Poonam Goel
Geeta Garg
author_sort Harsh Mohan
collection DOAJ
description Introduction. Elephantiasis is a chronic manifestation of filariasis; it commonly affects limbs, scrotum, and trunk. Females have lower incidence of filarial infection. Vulval elephantiasis due to filariasis is still rarer. It is difficult to make the diagnosis on histopathology alone, more so in view of the fact that the parasite is usually not identified in tissue sections. Identification of microfilariae in night samples of peripheral blood or seropositivity for filarial antigen is requisite for the correct diagnosis. Case Presentation. A young female presented with progressively increasing vulval swelling over a period of two years. The swelling was soft and measured 5×6 cm. Other possible differential diagnoses were excluded, and ancillary tests were performed to reach a conclusive diagnosis of vulval elephantiasis on histopathology. Conclusion. Vulval elephantiasis due to filariasis is rare. Its diagnosis on histopathology is more often by exclusion. High index of suspicion on microscopic findings and corelation with relevant diagnostic tests are required to reach the correct diagnosis.
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institution Kabale University
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spelling doaj-art-a2e33253da06491990d39cf1528cf5432025-02-03T06:42:05ZengWileyCase Reports in Infectious Diseases2090-66252090-66332012-01-01201210.1155/2012/430745430745Vulval Elephantiasis: A Case ReportHarsh Mohan0Bhumika Bisht1Poonam Goel2Geeta Garg3Department of Pathology, Government Medical College, Sector 32-A, Chandigarh 160031, IndiaDepartment of Pathology, Government Medical College, Sector 32-A, Chandigarh 160031, IndiaDepartment of Obstetrics and Gynecology, Government Medical College, Sector 32-A, Chandigarh 160030, IndiaDepartment of Dermatology & Venereology, Government Medical College, Sector 32-A, Chandigarh 160030, IndiaIntroduction. Elephantiasis is a chronic manifestation of filariasis; it commonly affects limbs, scrotum, and trunk. Females have lower incidence of filarial infection. Vulval elephantiasis due to filariasis is still rarer. It is difficult to make the diagnosis on histopathology alone, more so in view of the fact that the parasite is usually not identified in tissue sections. Identification of microfilariae in night samples of peripheral blood or seropositivity for filarial antigen is requisite for the correct diagnosis. Case Presentation. A young female presented with progressively increasing vulval swelling over a period of two years. The swelling was soft and measured 5×6 cm. Other possible differential diagnoses were excluded, and ancillary tests were performed to reach a conclusive diagnosis of vulval elephantiasis on histopathology. Conclusion. Vulval elephantiasis due to filariasis is rare. Its diagnosis on histopathology is more often by exclusion. High index of suspicion on microscopic findings and corelation with relevant diagnostic tests are required to reach the correct diagnosis.http://dx.doi.org/10.1155/2012/430745
spellingShingle Harsh Mohan
Bhumika Bisht
Poonam Goel
Geeta Garg
Vulval Elephantiasis: A Case Report
Case Reports in Infectious Diseases
title Vulval Elephantiasis: A Case Report
title_full Vulval Elephantiasis: A Case Report
title_fullStr Vulval Elephantiasis: A Case Report
title_full_unstemmed Vulval Elephantiasis: A Case Report
title_short Vulval Elephantiasis: A Case Report
title_sort vulval elephantiasis a case report
url http://dx.doi.org/10.1155/2012/430745
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