PMC7529167_01
Swelling rising from vulva, asymmetric, firm-lobulated swelling. Multiple, oval to linear, typical knife cutting deep ulcers with well-demarcated margins of size varying from 0.5 to 5 cm
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PMC7529167_01_IJSTD-41-110-g001.jpg
F1
Histopathology showing epithelioid cell granuloma and inflammatory cells
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PMC7529167_01_IJSTD-41-110-g002.jpg
F2
We repeated a biopsy which showed epithelioid cell granuloma in the dermis with dense chronic inflammatory infiltrate comprising lymphocytes and plasma cells, as shown in Figure 2.
Significant healed ulcers after six cycles of adalimumab
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PMC7529167_01_IJSTD-41-110-g003.jpg
F3