Vulvar puritus for one year
Published Web Location
https://doi.org/10.5070/D37jj9t83wMain Content
Unknown: Vulvar puritus for one year
Nina A Madnani MD DVD, Ashwini Bhalerao-Gandhi MD DGO, Kaleem J Khan MD
Dermatology Online Journal 16 (10): 10
P D Hinduja National Hospital, Mumbai, Maharashtra, India
|
|
| Figure 1 | Figure 2 |
|---|
|
| Figure 3 |
|---|
A 60-year-old post-menopausal female presented with vulvar itching for one year. She had noticed a whitish lesion on the vulva that slowly increased in size over the year. She had been unsuccessfully treated with oral fluconazole and topical clotrimazole-mometasone combinations and the plaque had gradually spread to involve the clitoris and peri-urethral area. She was neither diabetic nor hypertensive and had no other systemic complaints. Examination revealed a well-defined non-tender whitish plaque situated on her left labia minora and clitoris (Figure 1). A swab from the plaque did not grow any organism. Routine blood chemistry including a VDRL and HIV ELIZA were within normal limits. A punch biopsy from the lesion was taken and histopathology findings were as seen in (Figures 2 and 3).
What is the diagnosis?
© 2010 Dermatology Online Journal