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Vulvar Lesion in a 45-Year-Old Woman
Sophie Fraysse-Consigny, MD;
Olivier Chosidow, MD;
Pierre-André Becherel, MD;
Annick Datry, MD;
Camille Frances, MD
Hôpital Pitié-Salpêtrière, Paris, France
Arch Dermatol. 2002;138:1245-1250.
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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 45-year-old white woman presented with a 2-year history of a persistent
warty lesion of the vulva accompanied by dysuria and recurrent infection of
the urinary tract. She had been unsuccessfully treated with topical acyclovir.
Physical examination disclosed a painless, papillomatous nodule on the
left labium minus and some infiltrative perianal papules and nodules (Figure 1). The patient had left inguinal
lymphadenopathy. Her abdomen was tender to palpation. She was otherwise well.
There was no hematuria. The results of the following laboratory parameters
were within normal limits: complete blood cell count, serum electrolyte profile,
serum calcium levels, liver function tests, urinalysis, and screening for
immunodeficiency virus and syphilis. A biopsy specimen was obtained from the
vulva (Figure 2).
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Figure 1.
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Figure 2.
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What is your diagnosis?
Diagnosis: Schistosomiasis of the vulva.
The vulvar biopsy specimen revealed . . . [Full Text of this Article]
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