Chinese Journal of Dermatology

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A case of plasma cell vulvitis

WU Li-ming, LI Xue-xi, LI Ling, CHEN Xun-li, XIANG Jing-jing, YU Xiao-hong   

  1. Department of Dermatology, Hangzhou First People's Hospital, Hangzhou 310006, China
  • Received:2007-02-26 Online:2007-10-15 Published:2007-10-15

Abstract: A case of plasma cell vulvitis is reported.A 60-year-old woman patient presented with recurrent erythema and erosion in the vulva for 9 months.She complained of an recurrence and aggravation of the lesions for 1 month.Physical examination revealed dusky-red macules with moist surface,scattered white pseudomembrane-like erosion on both labias,and extensive hypertrophy of the clitoris.Histologic examination showed that there was a diffuse infiltration with inflammatory cells in upper to middle dermis, most of which were mature plasma cells,and a few extravasating erythrocytes.The clinical manifestations and pathological findings supported the diagnosis of plasma cell vulvitis,which was recalcitrant to treatment. Repeated intralesional injections ofbetamethasone complex solution(diprospan)and interferon alpha resulted in short-term improvement of the disease.

Key words: Plasma cells, Vulvitis, Female