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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.

5. A 44-year-old woman presented to your clinic with pain and edema of the vulva. At physical examination, erythema and fissures were noted around the anus with fistulas involving the perianal skin. What is the most likely diagnosis?

a. Behçet disease

b. Crohn disease

,

c. extramammary Paget disease

d. pemphigus vulgaris

e. plasma cell vulvitis