Isolated vasculitis of the cervix presenting as vaginal discharge

A 44-year-old woman previously in excellent health presented with clear vaginal discharge. Pelvic examination revealed a friable cervix that showed small-vessel necrotizing vasculitis on cone biopsy. She had no clinical evidence of systemic vasculitis or any connective tissue disease. Laboratory findings of inflammation (raised erythrocyte sedimentation rate and thrombocytosis) returned to normal after the cone biopsy. She has been symptom-free for over 2 years after the cone biopsy and a subsequent hysterectomy that failed to reveal uterine vasculitis. Localized vasculitis of the cervix can present as vaginal discharge or menorrhagia without evidence of vasculitis elsewhere and does not require systemic therapy.