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[Vulvitis plasmacellularis Zoon (author's transl)]

H Mensing, M Jänner

    Zeitschrift Fur Hautkrankheiten
    |June 1, 1981
    PubMed
    Summary
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    A rare case of plasma-cell vulvitis (Zoon) in a 53-year-old female presented as a painful, erythematous plaque. Intralesional triamcinolone injections provided satisfactory improvement after years of ineffective local treatments.

    Area of Science:

    • Gynecology
    • Dermatology
    • Pathology

    Background:

    • Plasma-cell vulvitis (Zoon's balanitis variant) is a rare, benign inflammatory condition affecting the vulva.
    • It typically presents as a well-demarcated, erythematous, and often painful plaque.
    • Differential diagnosis includes various vulvar dermatoses and infections.

    Observation:

    • A 53-year-old female presented with a symptomatic, erythematous plaque on the vulva.
    • The condition persisted for three years despite various local therapeutic interventions.
    • The lesion exhibited characteristics consistent with plasma-cell vulvitis.

    Findings:

    • Histopathological examination confirmed the diagnosis of plasma-cell vulvitis.
    • Repeated intralesional injections of triamcinolone acetonide were administered.

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  • Significant and satisfactory clinical improvement was observed following triamcinolone therapy.

    • Implications:

    • Intralesional corticosteroid injections, specifically triamcinolone, represent an effective treatment modality for recalcitrant plasma-cell vulvitis.
    • This case highlights a successful therapeutic approach for a rare vulvar condition.
    • Further research into optimal management strategies for Zoon's vulvitis is warranted.