Original Research Article http://doi.org/10.18231/j.ijced.2019.022 IP Indian Journal of Clinical and Experimental Dermatology, April-June, 2019;5(2):98-102 98 A clinical study on non venereal genital dermatoses in adult males at a tertiary care center P. Sandeep Kumar 1 , S. Ramatulasi 2* , Sashanka Darla 3 , Anand Acharya 4 1 Consultant, 2 Assistant Professor, 3 Post Graduate, 4 Professor, 2,3 Dept. of DVL, 4 Dept. of Pharmacology, 1 Pragati Skin Clinic, Khammam, Telangana, 2-4 Konaseema Institute of Medical Sciences Research Foundation, Andhra Pradesh, India *Corresponding Author: S. Ramatulasi Email: drtulasiderma@gmail.com Abstract Introduction: Non-venereal genital dermatoses tend to be confused with venereal diseases, which cause concern to patients and diagnostic dilemma to physicians. A comprehensive understanding of their pattern of presentation, etiology and treatment options is therefore essential to effectively manage the condition and also allay the associated anxiety. This study was to determine the clinico- etiological and epidemiological pattern of presentation of non-venereal dermatoses in male genitalia; Materials and Methods: This was a hospital based descriptive study of 200 male patients over the age of 18years with non-venereal dermatoses of external genitalia attending DVL OPD of KIMS, Amalapuram. Patients having any venereal disease were excluded. A detailed history was taken and a thorough examination of the genitalia, skin and mucosae was done. Gram’s stain, KOH mount, Tzanck smear, patch test, skin biopsy were done as and when required to establish the diagnosis. Results: The overall prevalence of non-venereal genital dermatoses during the study period was 30.8 per 10,000 male patients. A total of 28 different conditions were identified of which the most common was scabies which accounted for 38% followed by candidiasis and vitiligo 12% each, pearly penile papules (10.5%). Certain interesting cases like verrucous carcinoma, lupus valgaris, Behcet’s disease, Erythroplasia of Queyrat, Lymphangiectasia with ramhorn penis and Acrochordon over prepuce were encountered. The data was tabulated and analysed using SPSS version22. Conclusion: Knowledge about the prevalence, etiology of various non- venereal genital dermatoses will be helpful to arrive at adiagnosis and create awareness among patients. Keywords: Non-venereal dermatoses, Male genitalia, Pattern. Introduction Patients with genital dermatoses are anxious and apprehensive at presentation as they believe them to be the manifestations of sexually transmitted diseases (STDs). In contrast to this popular belief, not all genital dermatoses are sexually transmitted. The diseases which are not sexually transmitted are refered to as non-venereal dermatoses. Fitzpatrick and Gentry 1 classified these dermatoses based on pathogenesis as 1) Benign abnormalities 2) congenital abnormalities 3) Trauma and artefacts 4) Inflammatory diseases 5) Non venereal infections and infestations 6) Benign tumours 7) Premalignant lesions 8) Malignant lesions 9) Miscellaneous lesions. Genital dermatoses pose a difficulty in diagnosis as the morphology is modified by the special environment of the genitalia like heat, friction and occlusion. Non-venereal genital dermatoses may not be restricted to the genitalia alone but can also affect other areas of the body. So, examining the extra genital sites aids in the diagnosis. Even with benign lesions some patients develop venerophobia, cancer phobia. Hence it is important to be aware of these conditions and to differentiate them from venereal disease. Explaining the true and benign nature of these lesions will remove this fear. Because of the stigma associated with genital lesions, most of these patients do not approach the medical fraternity unless the disease burden is unbearable which in case of malignant lesions can endanger their lives. 2 Clinicians should have an open mind to look for these genital lesions so that patients feel confident to seek medical help. A comprehensive understanding of the various presentations, their causes and appropriate treatment options is essential to effectively manage these non-venereal dermatoses and allay the associated anxiety. The aim of our study was to determine the clinical and etiological factors, various patterns of presentation of non-venereal dermatoses in male genitalia and to assess which dermatoses have a predilection for exclusive genital involvement and which occur as a part of the generalised skin involvement. Materials and Methods This was a hospital based descriptive study approved by the institutional ethics committee. A series of 200 male patients over the age of 18years with non-venereal dermatoses of external genitalia were screened among the patients attending DVL OPD of Konaseema Institute of Medical Sciences, Amalapuram during the period of 3years from January 2016 to December 2018. Patients having any venereal disease were excluded from the study. After informed consent from the patient, detailed history regarding age, education, marital status, sexual practices, circumcision, trauma, drug intake, application of topical creams, recurrence, initial site of affection, duration and progression of the disease, associated medical and skin disorders was taken. Preliminary general and systemic examination was done. External genitalia, anal and perianal regions were examined. A thorough examination of the skin and mucosae was done to look for lesions elsewhere in the body. Gram’s stain, KOH mount, Tzanck smear, patch test, skin biopsy were done as and when required to establish the diagnosis. In suspected cases, VDRL, HIV tests were done to rule out STDs. The relevant details of the patient,