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Vulvar Diseases, Part 2

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As part of our commitment to resident education, Cutis is excited to offer this monthly section with board-relevant, easy-to-review material.

Vulvar diseases are common. It is important for dermatologists to recognize the clinical features of these diseases and understand their management. This fact sheet is the second of 2 parts covering a wide spectrum of vulvar diseases from lichen sclerosus to vulvodynia.

4. A 56-year-old woman presented to your clinic with vulvar pruritus and a burning sensation of 6 months’ duration. She had used a topical antibiotic and hydrocortisone cream 1% without relief. On physical examination, a red, irregular plaque is noted on the vestibule. The most likely diagnosis is:

a. Behçet disease

b. extramammary Paget disease

,

c. pemphigus vulgaris

d. plasma cell vulvitis

e. vulvodynia