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1. 32 year old presented with vulval itching and soreness. It’s aggravated during her periods. It’s relieved during summer On examination Pitted nails noted Skin lesions on scratching shows minute Haemorrhages Thick red plaques with silvery scales seen over vulva Same lesions seen under breast Choose correct diagnosisCorrectIncorrect
2. 32 year old Penny, presents with vulval itching and soreness. She’s noticed these symptoms with stress when her PHD exams were nearing On examination Polygonal purple topped lesions present over hand Wickham striae noted in buccal mucosa as well as well On vulval examination Plain topped polygonal lesions seen. Look at the image enclosed.CorrectIncorrect
3. You are seeing 56 year old postmenopusal Amy, in clinic, who has been referred for uncontrollable vulval itch & soreness which is worse at night. She has visited her GP and he has given her som lubricants which were of no benefit. On examination – thinning of skin, labial adhesions seen, Skin looks like cigarette paper Vulval biopsy showed thinned epidermis with sub-epidermal hyalinization and a deeper inflammatory infiltrate. Please look at the image.CorrectIncorrect