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Case Reports in Infectious Diseases
Volume 2012 (2012), Article ID 430745, 3 pages
http://dx.doi.org/10.1155/2012/430745
Case Report

Vulval Elephantiasis: A Case Report

1Department of Pathology, Government Medical College, Sector 32-A, Chandigarh 160031, India
2Department of Obstetrics and Gynecology, Government Medical College, Sector 32-A, Chandigarh 160030, India
3Department of Dermatology & Venereology, Government Medical College, Sector 32-A, Chandigarh 160030, India

Received 30 July 2012; Accepted 1 October 2012

Academic Editors: X. Vallès and L. Yamuah

Copyright © 2012 Harsh Mohan et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

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  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.