Lesions of a Sensitive Nature

These dermatologic disorders of the vulva and vagina may present considerable challenges. Can you distinguish one from another?

Case presentations 1-3 and photographs 1-4, courtesy of OBG Management. © 2019 Frontline Medical Communications, Inc.

Related Article
DiSaia PJ. Noninvasive vulvar lesions: an illustrated guide to diagnosis and treatment. OBG Manag. 2006;18(12):62-79.

Question 1 of 4

Redness and swelling Figure courtesy of Libby Edwards, MD

Three months ago, a 25-year-old woman developed a yeast infection and experienced severe burning, redness, and swelling immediately upon use of her prescribed terconazole. She was given clobetasol cream but discontinued use due to burning. Symptoms improved with application of topical benzocaine gel but returned after 2 weeks, requiring continual application of benzocaine for relief. Physical exam reveals generalized, poorly demarcated redness, edema, and superficial erosions of the vulva.

Match the diagnosis to the photo by letter

Lichen planus

Lichen sclerosus

Contact dermatitis

Human papillomavirus infection

Clinician Reviews. 2019 September;29(9):15e-16e

This quiz is not accredited for CME.

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