Martha's Case: The Unwelcome Phone Call

You chose 1: that is incorrect.

The correct answer is 4: Micropapillomatosis labialis.

Given that Martha is most at risk for STI, you may be tempted to attribute the vulvar appendages to an STI. However their symmetrical and homogenous appearance indicates that they are likely representative of micropapillomatosis labialis - a benign, normal condition that may look like HPV.

However, lesions associated with HPV are variable in appearance and usually follow an asymmetrical distribution.

Molluscum contagiosum lesions tend to also be distributed asymmetrically and are typically round with a central umbilication.

For more information and slides on micropapillomatosis labialis, molluscum contagiosum and HPV please click here to visit the STI Slide Gallery.