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Multiple Painful Vaginal Ulcerations—Quiz Case
Nicole Fett, MD;
Molly Hinshaw, MD
University of Wisconsin Hospital and Clinics, Madison
Arch Dermatol. 2008;144(4):547-552.
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REPORT OF A CASE
A 20-year-old woman presented with a 3-day history of vaginal itching, burning, and increased discharge; a sore throat; a cough; myalgias; and a temperature of 39.4°C. She was otherwise healthy and denied a history of genital or oral ulcerations, trauma, or injection drug use. She was not taking any medications. She was sexually active, with 1 new male partner for the 2 months before presentation, and in the past year, she had unprotected intercourse with a West African man while studying abroad. The results of a Papanicolaou smear and a sexually transmitted infection workup 1 month earlier were negative.
Physical examination revealed an ill-appearing woman with multiple, shallow ulcerations of her vaginal mucosa measuring up to 1 cm in diameter. The ulcers were variably covered with eschars and had violaceous to erythematous irregular borders (Figure 1). While she did have cervical lymphadenopathy, . . . [Full Text of this Article]
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