Instructions: Listen to the podcast episode available below, and then submit your answers to the multiple choice questions. You will review the answers and the material covered during your next Continuity Clinic Session.
Benign Vulvar Dermatoses
1. A 7 yo girl reports perineal itching and pain as well as dysuria. Her urine culture is negative. There is low concern for sexual abuse. Genital exam shows a normal hymen and vagina with a symmetrical and well-circumscribed perianal and perineal hypopigmentation in a figure-of-8 pattern on her vulva with punctate hemorrhages. What is the best next step?
2. A 48 yo female has a 1 year history of intense vulvar itching, burning and generalized soreness in addition to yellow discharge. She has been unable to have sexual intercourse due to dyspareunia over the last 6 months. She also has intermittent sores at the bottom of her gumline. What is the most likely diagnosis?
3. A 21 yo presents with recurrent yeast infections. For the last 8 months, she has experienced intense vulvar and perineal pruritus. She cannot sleep at night. The labia minora are erythematous and edematous on exam. The labia majora appear pale and leathery with multiple areas of excoriation. What is the most likely diagnosis?