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Chronic vulvocrural dermatitis with burning and itching

机译:慢性烧灼性瘙痒性皮炎

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摘要

A 73-year-old woman presented with an 18-year history of an intermittent recalcitrant groin rash, vulvar burning and dyspareunia. The rash started on her right labia ma-jora and had spread gradually over the entire vulva, groin and perineum over a 2-week period (Figure 1). In addition, she had well-demarcated fissured malodorous plaques in her inguinal region. The patient's symptoms recurred seasonally, becoming more irritating during warm weather. Her symptoms had been treated with topical antifungalswith short-term remission. In addition to the skin rash, our patient had white, longitudinal fingernail bands, and she reported that her son and daughter had similar eruptions localized to their forearms and axillae (Figure 2).
机译:一名73岁的女性,有18年的间歇性顽固性腹股沟皮疹,外阴灼热和性交困难的病史。皮疹开始于她的右大阴唇,并在2周的时间内逐渐扩散到整个外阴,腹股沟和会阴部(图1)。此外,她的腹股沟区域有界限清楚的裂痕臭味斑块。患者的症状会季节性发作,在温暖的天气中会变得更加刺激。她的症状已用局部抗真菌药治疗,短期缓解。除了皮疹,我们的患者还有白色的纵向指甲带,她报告说,她的儿子和女儿在前臂和腋窝也有类似的发疹(图2)。

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