[Skip to Content]
Access to paid content on this site is currently suspended due to excessive activity being detected from your IP address 34.237.76.91. Please contact the publisher to request reinstatement.
[Skip to Content Landing]
Views 1,457
Citations 0
JAMA Dermatology Clinicopathological Challenge
July 17, 2019

Painful Indurated Plaques on the Vulva

Author Affiliations
  • 1Department of Dermatology, Xinhua Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, China
JAMA Dermatol. 2019;155(9):1073-1074. doi:10.1001/jamadermatol.2019.1979

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).

×