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  • Title: Idiopathic granulomatous vulvitis.
    Author: Rowan DM, Jones RW.
    Journal: Australas J Dermatol; 2004 Aug; 45(3):181-3. PubMed ID: 15250899.
    Abstract:
    A 20-year-old woman initially presented with clinical evidence of an acute vulval inflammatory disorder incorrectly diagnosed as a Bartholin's abscess. Prolonged healing associated with infection followed attempts to incise and biopsy the area. Over a decade the condition has followed a chronic course with exacerbations and remissions and the vulva has become progressively more swollen and distorted. Lymphangiomas have developed. Histology showed non-necrotizing granulomas. Investigations for Crohn's disease and sarcoidosis were negative. Prednisone resulted in improvement during acute inflammatory episodes.
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