Table 4 Zoon's Vulvitis
Clinical Differential appearance diagnosis
Zoon's Asymptomatic, itch, Glassy red VIN, lichen or burning erythema planus
Rx underlying condition; topical lidocaine and barrier ointments
may present many years before intestinal involvement and in some cases there is vulvar edema and lymphangiectasia only, with no evidence of granulomatous inflammation (Fig. 11C) (16,17). The more usual presentation is ulceration, abscess, sinus, and fistula formation with a granulomatous histology. There may be deep linear fissures (knife cut sign) along the skin creases (Table 6).
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