II. Pathophysiology

  1. Congenital in origin
  2. Normal anatomic variant
  3. Possible link with human papilloma virus (HPV)

III. Signs

  1. Occurs over entire inner labia
  2. Multiple small papillae (1-3 mm)

IV. Management: Vulvar Pain and papillomatosis

  1. Colposcopy directed biopsy

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