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Vaginal involvement in a woman with Darier's disease: a case report
José Manuel Suárez-Peñaranda1, José Ramón Antúnez, Emilio Del Rio
1Department of Pathology, Clinical University Hospital of Santiago de Compostela, Spain. jsuarezp@usc.es
Background:
Involvement of the female genital tract by Darier's disease, an unusual genodermatosis, is uncommon, and the manifestation of the disease in a cervicovaginal smear is exceptionally rare.
Case:
A 39-year-old woman had an abnormal Pap smear caused by involvement of the female genital tract by Darier's disease. Cytologic examination showed features consistent with a low grade squamous intraepithelial lesion, but during a biopsy it was found to be vaginal involvement by Darier's disease.
Conclusion:
The correct interpretation of cytologic findings is not possible when the diagnosis of Darier's disease is not known since a low grade squamous intraepithelial lesion cannot be ruled out. This case underlines the importance of knowing the patient's medical histoiy in any moment of medical attention.
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