PMC3937486_01
(a) Single, non-tender, pedunculated, polypoid growth, about 6 x 7 cm, hanging from the left labium minus (P) and minimal swelling of the left labium majus, (b) Multiple "knife-cut" ulcers on the external genitalia, in the inguino-crural fold, and in the interlabial creases
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F1
Cutaneous examination revealed a single, non-tender, pedunculated, polypoid growth, about 6 x 7 cm, hanging from the left labium minus [Figure 1].
Multiple non-caseating granulomas in the dermis (G) (a) H and E, x20; (b) H and E, x40
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F2
Ziehl-Neelsen staining for Mycobacterium tuberculosis was negative [Figure 2].
Multiple typical "knife-cut" ulcers on the external genitalia in the inguino-crural fold, (a) interlabial creases, and (b) natal cleft
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F3
A week later, at the time of suture removal, the patient presented with multiple typical "knife-cut" ulcers on the external genitalia, in the inguino-crural fold, interlabial creases, and natal cleft, leaving no doubt in the diagnosis of CCD [Figure 3].
Massive edema of genitalia more marked on the left labium majus
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F4
She gave a history of having had a full-term normal child, 3 months earlier, delivered by an elective lower segment caesarean section (LSCS) in view of the edema of the labia majora [Figure 4].