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Painful ulceration of the vulva

Published:January 25, 2019DOI:https://doi.org/10.1016/j.ajog.2019.01.225
      A 39 year-old-woman presented with a 1-month history of painful and persistent erosions of the vulvar mucosa. Her medical history was unremarkable. The vulvar area presented with erythema and ulceration (Figure 1). On examination, we observed multiple linear erosions on the gingival and palatine mucosa (Figure 2). Complete blood cell count, thyroid-stimulating hormone, and liver and renal function tests were performed to rule out systemic involvement and prior to planning treatment, and were within normal ranges.
      Figure thumbnail gr1
      Figure 1Erythema and ulceration on the vulva
      Gómez Moyano. Painful ulceration of the vulva. Am J Obstet Gynecol 2019.
      Figure thumbnail gr2
      Figure 2Multiple linear erosions on the gingival mucosa
      Gómez Moyano. Painful ulceration of the vulva. Am J Obstet Gynecol 2019.
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