Fast Facts for Board Review

Vulvar Diseases, Part 2

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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

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