PMC6180360_01
Large verrucous plaques encompassing vulva, bilateral labia, and perineum.
10.1177_2050313X18802143-fig1.jpg
PMC6180360_01_10.1177_2050313X18802143-fig1.jpg
fig1-2050313X18802143
On pelvic examination, there were large verrucous plaques involving bilateral labia majora and vulvae (Figure 1).
Timeline of events from first presentation of genital warts to full resolution.
10.1177_2050313X18802143-fig2.jpg
PMC6180360_01_10.1177_2050313X18802143-fig2.jpg
fig2-2050313X18802143
For a summary timeline events, please see Figure 2.
Follow-up after 6 weeks of imiquimod treatment - no remaining lesions with intact genitalia.
10.1177_2050313X18802143-fig3.jpg
PMC6180360_01_10.1177_2050313X18802143-fig3.jpg
fig3-2050313X18802143
On examination, there was no evidence of residual wart tissue with only post-inflammatory hyperpigmentation around the vulva and perineum (Figure 3).