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Vulvar Verrucous Papules
George J. Murakawa, MD, PhD;
Russell Kerschmann, MD;
Timothy Berger, MD
University of California, San Francisco, and San Francisco General Hospital
Arch Dermatol. 1999;135:203-208.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings. |
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REPORT OF A CASE
A 46-year-old African American woman was referred from the gynecology service for evaluation and treatment of verrucous papules on her vulva. Her history was remarkable for a 15- to 20-year history of severe, erosive, macerated lesions in the intertriginous areas of her genitalia that occurred monthly around the time of her menses and worsened in the summer. She also complained of chronic, severe vulvar pruritis.
On examination, the patient had numerous 2- to 4-mm keratotic, flat-topped papules on her labia minora and majora (Figure 1). She also had widespread hyperpigmentation and papillomatous plaques with mild crusting in the intertriginous regions of her anogenitalia. A biopsy specimen of one of her verrucous papules was obtained (Figure 2 and Figure 3).
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Figure 1.
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Figure 2.
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Figure 3.
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What is your diagnosis?
Diagnosis: Hailey-Hailey disease (benign familial chronic pemphigus).
Histologic examination showed suprabasal vesicle formation . . . [Full Text of this Article]
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