However, there has been a scarcity of literature about this rare entity in the Indian dermatological scenario, highlighting an apparent disregard for this potentially misdiagnosed entity. Therefore, it is imperative that dermatologists are familiar with this condition in order to avoid unnecessary treatment. The feeling of irritation and burning can persist for hours or days following sexual activity, engendering a sense of hopelessness and depression in the patient.Ī female with VP may be referred to a dermatologist for treatment of suspected genital warts. Coexisting, VVS has also been reported, which is defined as severe pain on vestibular touch or vaginal entry and tenderness located within the vulvar vestibule. VP is asymptomatic in majority of affected females, however, vulvar pruritus, pain, burning, and dyspareunia may accompany in some patients. The fact that VP is distinct from genital warts has also been well-established by PCR and in-situ hybridization studies. On the other hand, genital warts are skin-colored or pigmented, randomly arranged, firm, acuminate papules-individual papillary projections fuse at the base-with prominent whitening on 5% acetic acid application. Careful identification of clinical parameters of VP-clusters of pink, soft, uniformly arranged tubular papillae on inner labia, hymen, or periurethral area with round tips, separate bases, and lack of circumscribed whitening on 5% acetic acid application-is diagnostic. In past, papillary projections of the inner labia have been overdiagnosed as caused by HPV infection. Prevalence reported in various studies has ranged between 1–33%. Vestibular papillomatosis (VP) is considered a normal flexibility in topography and morphology of the vulvar epithelium. PCR for human papilloma virus (HPV) DNA was negative.ĭigitate structures of loosely arranged subdermal tissue covered by normal mucosal epithelium (H and E, ×40) On vulval biopsy, we could see finger-like protrusions of loosely arranged subdermal tissue covered with normal mucosal epithelium. A provisional diagnosis of vestibular papillomatosis (VP) with vulvar vestibulitis syndrome (VVS) was made. Color of the lesions was the same as that of the adjacent mucosa. Examination revealed multiple, small, uniformly arranged, soft, smooth-surfaced, monomorphic micropapillae covering the inner aspect of labia minora and the vestibule. What Do Vice Presidents Do A vice president is a leader of a company or department in a company who serves under the president or CEO. Her husband likened the appearance of her vulval lesions to a “broccoli.” She was in a monogamous relationship and had no past history of sexual contacts. She was anxious and depressed because these symptoms interfered with her work and sexual activity. She had also experienced burning sensation, irritation, and pain in vulva on many occasions over the past one year. Some presidents want their vice presidents to take on more of a leadership role.A 26-year-old lady had noticed “small growths” on vulva since one year of her marriage. Other than the constitutionally defined powers, the influence of the vice president is determined by the president. Secretary of Housing and Urban Development This has happened eight times during our nation’s history: Article II states that in case of presidential removal, death, resignation, or disability, that the responsibilities of the vice president shall, “devolve on the vice president.” On that occasion, the vice president is sworn in as president. The main power that the vice president wields is the power to succeed the president in case they are debilitated or die. The vice president is a heartbeat away from being the most powerful person in the government, but often they are the least consequential. They waited in case there was a tragedy, and they had to replace the president. Traditionally, the main job of vice presidents seemed to be waiting. Few vice presidents exercise that duty unless they are needed to break a tie for the benefit of their party. The Vice President of the United States doesn’t have any formal powers apart from the responsibility of presiding over the Senate. 1 Seal of the Vice President Wikimedia Commons Vice President Powers The number of electoral ballots each state receives is calculated by adding each state's number of representatives and senators.įig. Being in the executive position, an EVP has the authority to make major decisions for the company. It should be noted that a CEO and a President are two different roles. International Climate Change AgreementsĮlectoral College: The process by which the United States elects the president. What Is an Executive Vice President (EVP) An executive vice president is usually placed on the hierarchy chart right below the President of the company.Slavery and the Constitutional Convention.Philosophy of the Declaration of Independence.
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