A woman in her 60s presented with a painful skin eruption on the vulva of 2 months’ duration. The patient had a history of rectal carcinoma with lymph node metastasis and 2 years prior had received low anterior resection plus postoperative chemotherapy (6 cycles of oxaliplatin, calcium folinate, and tegafur). A physical examination revealed well-defined, firm, indurated plaques on the vulva with nodules on the surface (Figure 1A). A biopsy of the left vulva was performed (Figure 1B and C).
Zhang Z, Yu H, Yao Z. Painful Indurated Plaques on the Vulva. JAMA Dermatol. Published online July 17, 2019. doi:10.1001/jamadermatol.2019.1979
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