FGT Case 2 (Vulva)
Case writer: Dr Gideon Tan
Clinical history:
- 60F, with no significant past medical history, presents with a worsening, itchy skin rash in the vulvar region.
On examination, there is an erythematous plaque-like rash, which is sharply demarcated from the surrounding skin.
A biopsy of the rash, and a subsequent excision, was performed.
Shown here are the images from the excision specimen - What are the histologic findings?
- What are your differential diagnoses?
- What ancillary tests would you do?
- What clinical information would be helpful in your diagnostic workup?
- What single important feature would dramatically change the prognosis of this condition?
Click picture to enlarge
