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Nodular Lesions in the Diaper Area—Quiz Case

Nodular Lesions in the Diaper Area—Quiz Case Report of a case An 83-year-old woman with urinary incontinence was referred to our clinic with a 2-year history of pruritic and painful lesions in the genital and suprapubic area. Repeated cycles of topical corticosteroid therapy resulted in a minimal and transitory response. The patient also reported a constant burning sensation that she treated with several daily applications of topical benzocaine. Dermatologic examination of the vulva, mons pubis, inner thighs, and suprapubic area revealed multiple, flesh-colored to erythematous violaceous papules, nodules, and plaques, some of which displayed superficial erosions (Figure 1). Culture of the lesional tissue did not demonstrate clinically significant bacterial or fungal pathogens. A skin biopsy specimen was obtained for histologic analysis (Figure 2). View LargeDownload Figure 1. View LargeDownload Figure 2. What is your diagnosis? http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA Dermatology American Medical Association

Nodular Lesions in the Diaper Area—Quiz Case

Abstract

Report of a case An 83-year-old woman with urinary incontinence was referred to our clinic with a 2-year history of pruritic and painful lesions in the genital and suprapubic area. Repeated cycles of topical corticosteroid therapy resulted in a minimal and transitory response. The patient also reported a constant burning sensation that she treated with several daily applications of topical benzocaine. Dermatologic examination of the vulva, mons pubis, inner thighs, and suprapubic area...
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Publisher
American Medical Association
Copyright
Copyright © 2013 American Medical Association. All Rights Reserved.
ISSN
2168-6068
eISSN
2168-6084
DOI
10.1001/jamadermatol.2013.1172a
Publisher site
See Article on Publisher Site

Abstract

Report of a case An 83-year-old woman with urinary incontinence was referred to our clinic with a 2-year history of pruritic and painful lesions in the genital and suprapubic area. Repeated cycles of topical corticosteroid therapy resulted in a minimal and transitory response. The patient also reported a constant burning sensation that she treated with several daily applications of topical benzocaine. Dermatologic examination of the vulva, mons pubis, inner thighs, and suprapubic area revealed multiple, flesh-colored to erythematous violaceous papules, nodules, and plaques, some of which displayed superficial erosions (Figure 1). Culture of the lesional tissue did not demonstrate clinically significant bacterial or fungal pathogens. A skin biopsy specimen was obtained for histologic analysis (Figure 2). View LargeDownload Figure 1. View LargeDownload Figure 2. What is your diagnosis?

Journal

JAMA DermatologyAmerican Medical Association

Published: Apr 1, 2013

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