A rare cause of vulval swelling

A 46-year-old woman presented to the emergency department with a 6-month history of gradually worsening vulval swelling, yellow discharge and excruciating pain on movement. Learning points Clinicians should consider immunobullous diseases, such as bullous pemphigoid and pemphigus vulgaris as a cause...

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Bibliographic Details
Published in:BMJ case reports 2019-07, Vol.12 (7), p.e231040
Main Authors: Selvendran, Subothini Sara, Sinha, Rishika, Perera, Gayathri
Format: Article
Language:English
Subjects:
Autoimmune diseases
Case reports
Dermatology
Edema
Female
Gynecology
Humans
Images In
Immunologic Factors - therapeutic use
Middle Aged
Pemphigus - drug therapy
Pemphigus - immunology
Pemphigus - pathology
Rituximab - therapeutic use
Skin diseases
Treatment Outcome
Vulva - pathology
Vulvar Diseases - drug therapy
Vulvar Diseases - immunology
Vulvar Diseases - pathology
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Summary:A 46-year-old woman presented to the emergency department with a 6-month history of gradually worsening vulval swelling, yellow discharge and excruciating pain on movement. Learning points Clinicians should consider immunobullous diseases, such as bullous pemphigoid and pemphigus vulgaris as a cause for chronic mucosal lesions at genital sites. Genital involvement in pemphigus vulgaris (PV): correlation with clinical and cervicovaginal Pap smear findings.
ISSN:1757-790X
1757-790X
DOI:10.1136/bcr-2019-231040