PMC6009022_01
(a) Vulvar swelling and shallow "kissing" ulcers with necrotic debris and sharply demarcated borders, 2 mm-20 mm diameter, on labia minora and majora. (b) Ulcers on the bilateral labia, lower vagina, and cervix.
CRIOG2018-3507484.001.jpg
PMC6009022_01_CRIOG2018-3507484.001.jpg
fig1
Physical examination of the vulva showed extended vulvar oedema and kissing pattern ulcers on labia minora and majora, vagina and cervix (Figure 1).
Complete resolution of the vulvar lesions with partial loss of left labia minora and majora (black arrows).
CRIOG2018-3507484.002.jpg
PMC6009022_01_CRIOG2018-3507484.002.jpg
fig2
Prednisolone 20 mg/day was prescribed and vulvar healing appeared within 2 weeks with partial loss of left labia (Figure 2).