[Vulvar pathology]

We evaluated the main causes of vulvar dermatoses; in 785 patients with a vulvar diseases who visited Ibn Rochd Hospital Centre, Casablanca between January 1991 and December 2002. The average age was 31 years [range 2 months to 81 years]; 362 patients [41.52%] had vulvar pruritus, 273 patients [34.77%] had warts and 157 [20%] had one or more vulva ulcers. The most common infectious pathology was papillomavirus infection, found in 273 cases [34.77%], followed by vulvovaginal candidiases in 102 cases [12.99%], syphilitic chancre in 18 cases [2.29%] and herpes genitalis in 17 cases [2.16%]. The most common non-infectious pathology was vulvar dermatosis: 259 cases [32.99%]; idiopathic pruritus vulvae: 61 cases [7.7%]; and tumour-related conditions: 45 cases [5.6%]. The frequency of infectious conditions was over 50% and these were generally sexually transmitted infections

[Cutaneous calcinoses [5 cases]]

We report 5 cases of cutaneous calcinoses at the dermatology department in CHU Ibn Rochd university hospital of Casablanca the clinical picture is suggestive of the diagnosis The clinical picture is evokator in front of the appearance of subcutaneous nodules that become fistulization resulting in a chalking substance. The phosphocablcic complete examination is normal, the radiographies show nodular calcifications and the cutaneous biopsy confirms the diagnosis. An associate pathology is noticed in three cases, with respectively: sclerodermitis, dermatomyositis and Kahler's disease. The treatment depends on the associated affection. The cutaneous calcinoses are defined as a group of manifestations resulting of abnormal presence of phosphate of calcium in skin in the shape of hydroxyapatitis cristaline. There are various very dissimilar affections with pathologic calcifications that we can classify according to their mechanism of action