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Vulvar Diseases, Part 2

Review the PDF of the fact sheet on vulvar diseases with board-relevant, easy-to-review material. This fact sheet is the second of 2 parts covering a wide spectrum of vulvar diseases from lichen sclerosus to vulvodynia.

After, test your knowledge by answering the 5 practice questions.

 

Practice Questions

1. A 5-year-old girl presented to your clinic with an itchy rash in the vulvar and anal regions. The patient’s mother reported erythema and erosion of the anal area. Her pediatrician prescribed an oral antibiotic that showed good results but the condition recurred 2 weeks after she finished the medication. The most likely diagnosis is:

a. Behçet disease

b. pemphigus vulgaris

c. perianal streptococcal dermatitis

d. plasma cell vulvitis

e. vulvodynia

 

 

2. A 34-year-old woman presented with pain and a burning sensation on the vulva. She reported a history of migraines. On physical examination, mild erythema was noted on the labia majora and minora and the patient reported pain to the touch of a cotton-tipped applicator in the vestibule. The most likely diagnosis is:

a. Crohn disease

b. extramammary Paget disease

c. pemphigus vulgaris

d. plasma cell vulvitis

e. vulvodynia

 

 

3. A 25-year-old woman with a history of oral ulcers presented to your clinic with pain in the genital area. On physical examination, multiple ulcers were noted on the labia majora with no discharge. The most likely diagnosis is:

a. Behçet disease

b. Crohn disease

c. extramammary Paget disease

d. pemphigus vulgaris

e. plasma cell vulvitis

 

 

4. A 56-year-old woman presented to your clinic with vulvar pruritus and a burning sensation of 6 months’ duration. She had used a topical antibiotic and hydrocortisone cream 1% without relief. On physical examination, a red, irregular plaque is noted on the vestibule. The most likely diagnosis is:

a. Behçet disease

b. extramammary Paget disease

c. pemphigus vulgaris

d. plasma cell vulvitis

e. 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

 

 

1. A 5-year-old girl presented to your clinic with an itchy rash in the vulvar and anal regions. The patient’s mother reported erythema and erosion of the anal area. Her pediatrician prescribed an oral antibiotic that showed good results but the condition recurred 2 weeks after she finished the medication. The most likely diagnosis is:

a. Behçet disease

b. pemphigus vulgaris

c. perianal streptococcal dermatitis

d. plasma cell vulvitis

e. vulvodynia

 
2. A 34-year-old woman presented with pain and a burning sensation on the vulva. She reported a history of migraines. On physical examination, mild erythema was noted on the labia majora and minora and the patient reported pain to the touch of a cotton-tipped applicator in the vestibule. The most likely diagnosis is:

a. Crohn disease

b. extramammary Paget disease

c. pemphigus vulgaris

d. plasma cell vulvitis

e. vulvodynia

 

3. A 25-year-old woman with a history of oral ulcers presented to your clinic with pain in the genital area. On physical examination, multiple ulcers were noted on the labia majora with no discharge. The most likely diagnosis is:

a. Behçet disease

b. Crohn disease

c. extramammary Paget disease

d. pemphigus vulgaris

e. plasma cell vulvitis

 

4. A 56-year-old woman presented to your clinic with vulvar pruritus and a burning sensation of 6 months’ duration. She had used a topical antibiotic and hydrocortisone cream 1% without relief. On physical examination, a red, irregular plaque is noted on the vestibule. The most likely diagnosis is:

a. Behçet disease

b. extramammary Paget disease

c. pemphigus vulgaris

d. plasma cell vulvitis

e. 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

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Dr. Pichardo-Geisinger is Associate Professor of Dermatology, Wake Forest Baptist Medical Center, Winston-Salem, North Carolina.

The author reports no conflict of interest.

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perianal streptococcal dermatitis, vulvodynia, Behçet disease, plasma cell vulvitis, Crohn disease
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Dr. Pichardo-Geisinger is Associate Professor of Dermatology, Wake Forest Baptist Medical Center, Winston-Salem, North Carolina.

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Dr. Pichardo-Geisinger is Associate Professor of Dermatology, Wake Forest Baptist Medical Center, Winston-Salem, North Carolina.

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Related Articles

Review the PDF of the fact sheet on vulvar diseases with board-relevant, easy-to-review material. This fact sheet is the second of 2 parts covering a wide spectrum of vulvar diseases from lichen sclerosus to vulvodynia.

After, test your knowledge by answering the 5 practice questions.

 

Practice Questions

1. A 5-year-old girl presented to your clinic with an itchy rash in the vulvar and anal regions. The patient’s mother reported erythema and erosion of the anal area. Her pediatrician prescribed an oral antibiotic that showed good results but the condition recurred 2 weeks after she finished the medication. The most likely diagnosis is:

a. Behçet disease

b. pemphigus vulgaris

c. perianal streptococcal dermatitis

d. plasma cell vulvitis

e. vulvodynia

 

 

2. A 34-year-old woman presented with pain and a burning sensation on the vulva. She reported a history of migraines. On physical examination, mild erythema was noted on the labia majora and minora and the patient reported pain to the touch of a cotton-tipped applicator in the vestibule. The most likely diagnosis is:

a. Crohn disease

b. extramammary Paget disease

c. pemphigus vulgaris

d. plasma cell vulvitis

e. vulvodynia

 

 

3. A 25-year-old woman with a history of oral ulcers presented to your clinic with pain in the genital area. On physical examination, multiple ulcers were noted on the labia majora with no discharge. The most likely diagnosis is:

a. Behçet disease

b. Crohn disease

c. extramammary Paget disease

d. pemphigus vulgaris

e. plasma cell vulvitis

 

 

4. A 56-year-old woman presented to your clinic with vulvar pruritus and a burning sensation of 6 months’ duration. She had used a topical antibiotic and hydrocortisone cream 1% without relief. On physical examination, a red, irregular plaque is noted on the vestibule. The most likely diagnosis is:

a. Behçet disease

b. extramammary Paget disease

c. pemphigus vulgaris

d. plasma cell vulvitis

e. 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

 

 

1. A 5-year-old girl presented to your clinic with an itchy rash in the vulvar and anal regions. The patient’s mother reported erythema and erosion of the anal area. Her pediatrician prescribed an oral antibiotic that showed good results but the condition recurred 2 weeks after she finished the medication. The most likely diagnosis is:

a. Behçet disease

b. pemphigus vulgaris

c. perianal streptococcal dermatitis

d. plasma cell vulvitis

e. vulvodynia

 
2. A 34-year-old woman presented with pain and a burning sensation on the vulva. She reported a history of migraines. On physical examination, mild erythema was noted on the labia majora and minora and the patient reported pain to the touch of a cotton-tipped applicator in the vestibule. The most likely diagnosis is:

a. Crohn disease

b. extramammary Paget disease

c. pemphigus vulgaris

d. plasma cell vulvitis

e. vulvodynia

 

3. A 25-year-old woman with a history of oral ulcers presented to your clinic with pain in the genital area. On physical examination, multiple ulcers were noted on the labia majora with no discharge. The most likely diagnosis is:

a. Behçet disease

b. Crohn disease

c. extramammary Paget disease

d. pemphigus vulgaris

e. plasma cell vulvitis

 

4. A 56-year-old woman presented to your clinic with vulvar pruritus and a burning sensation of 6 months’ duration. She had used a topical antibiotic and hydrocortisone cream 1% without relief. On physical examination, a red, irregular plaque is noted on the vestibule. The most likely diagnosis is:

a. Behçet disease

b. extramammary Paget disease

c. pemphigus vulgaris

d. plasma cell vulvitis

e. 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

Review the PDF of the fact sheet on vulvar diseases with board-relevant, easy-to-review material. This fact sheet is the second of 2 parts covering a wide spectrum of vulvar diseases from lichen sclerosus to vulvodynia.

After, test your knowledge by answering the 5 practice questions.

 

Practice Questions

1. A 5-year-old girl presented to your clinic with an itchy rash in the vulvar and anal regions. The patient’s mother reported erythema and erosion of the anal area. Her pediatrician prescribed an oral antibiotic that showed good results but the condition recurred 2 weeks after she finished the medication. The most likely diagnosis is:

a. Behçet disease

b. pemphigus vulgaris

c. perianal streptococcal dermatitis

d. plasma cell vulvitis

e. vulvodynia

 

 

2. A 34-year-old woman presented with pain and a burning sensation on the vulva. She reported a history of migraines. On physical examination, mild erythema was noted on the labia majora and minora and the patient reported pain to the touch of a cotton-tipped applicator in the vestibule. The most likely diagnosis is:

a. Crohn disease

b. extramammary Paget disease

c. pemphigus vulgaris

d. plasma cell vulvitis

e. vulvodynia

 

 

3. A 25-year-old woman with a history of oral ulcers presented to your clinic with pain in the genital area. On physical examination, multiple ulcers were noted on the labia majora with no discharge. The most likely diagnosis is:

a. Behçet disease

b. Crohn disease

c. extramammary Paget disease

d. pemphigus vulgaris

e. plasma cell vulvitis

 

 

4. A 56-year-old woman presented to your clinic with vulvar pruritus and a burning sensation of 6 months’ duration. She had used a topical antibiotic and hydrocortisone cream 1% without relief. On physical examination, a red, irregular plaque is noted on the vestibule. The most likely diagnosis is:

a. Behçet disease

b. extramammary Paget disease

c. pemphigus vulgaris

d. plasma cell vulvitis

e. 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

 

 

1. A 5-year-old girl presented to your clinic with an itchy rash in the vulvar and anal regions. The patient’s mother reported erythema and erosion of the anal area. Her pediatrician prescribed an oral antibiotic that showed good results but the condition recurred 2 weeks after she finished the medication. The most likely diagnosis is:

a. Behçet disease

b. pemphigus vulgaris

c. perianal streptococcal dermatitis

d. plasma cell vulvitis

e. vulvodynia

 
2. A 34-year-old woman presented with pain and a burning sensation on the vulva. She reported a history of migraines. On physical examination, mild erythema was noted on the labia majora and minora and the patient reported pain to the touch of a cotton-tipped applicator in the vestibule. The most likely diagnosis is:

a. Crohn disease

b. extramammary Paget disease

c. pemphigus vulgaris

d. plasma cell vulvitis

e. vulvodynia

 

3. A 25-year-old woman with a history of oral ulcers presented to your clinic with pain in the genital area. On physical examination, multiple ulcers were noted on the labia majora with no discharge. The most likely diagnosis is:

a. Behçet disease

b. Crohn disease

c. extramammary Paget disease

d. pemphigus vulgaris

e. plasma cell vulvitis

 

4. A 56-year-old woman presented to your clinic with vulvar pruritus and a burning sensation of 6 months’ duration. She had used a topical antibiotic and hydrocortisone cream 1% without relief. On physical examination, a red, irregular plaque is noted on the vestibule. The most likely diagnosis is:

a. Behçet disease

b. extramammary Paget disease

c. pemphigus vulgaris

d. plasma cell vulvitis

e. 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

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