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    Vulvar irritation in a 27-year-old woman

    Case 3

    A 27-year-old woman presents with an 18-month history of vulvar irritation. She is otherwise healthy except for episodes of depression. She has tried multiple agents for her condition including topical steroids, Vagisil, antibiotics, and fluconazole. She used oral steroids but developed knee pain. Tacrolimus has not helped. A biopsy revealed lichen simplex chronicus. Immunofluorescent studies were negative.

     

     

    Diana Curran, MD
    Dr Diana Curran, MD is associate Professor, Department of Obstetrics and Gynecology, Michigan Medicine, University of Michigan, Ann Arbor.
    John O.L. DeLancey, MD
    DR. DELANCEY is Professor of Gynecology, director of Pelvic Floor Research, University of Michigan Medical School, Ann Arbor, MI.
    Hope K Haefner, MD
    Dr Hope K Haefner, MD, is Profesor in the Department of Obstetrics and Gynecology, Michigan Medicine, University of Michigan, Ann Arbor.

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