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Vulvar sarcoidosis: case report and review of the literature
Caridad Vera1, Deana Funaro, Danielle Bouffard
1De[artment of Dermatology, CHUM hôpital St-Luc, University of Montreal, Montreal, Canada.
Background:
Sarcoidosis is a multisystemic disorder of unknown etiology that can affect multiple organs, including the lungs, skin, and eyes. Vulvar sarcoidosis has anecdotally been reported.
Objective:
The aim of this article is to describe a case of vulvar sarcoidosis and review the few cases that have been reported.
Methods:
We report the case of a 39-year-old woman who presented to the dermatologist with a 2-year history of vulvar pruritus.
Results:
Examination revealed infiltrated plaques on the vulva and perianal region. The biopsy demonstrated well-defined, non-necrotizing granulomas in the dermis. Further investigation revealed hilar adenopathy consistent with sarcoidosis. The patient responded well to topical corticosteroids.
Conclusion:
In the presence of granulomatous lesions of the genital region, infectious causes, foreign body reaction, Crohn disease, and sarcoidosis should be part of the differential diagnosis.
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