Day Tania, Scurry James
1Maternity and Gynaecology, John Hunter Hospital; and 2Anatomical Pathology, Hunter Area Pathology Service, Newcastle, Australia.
J Low Genit Tract Dis. 2014 Jul;18(3):e71-3. doi: 10.1097/LGT.0b013e3182a874bb.
To report a case of isolated vulvar pityriasis versicolor in a 24-year-old healthy woman.
A 24-year-old woman presented with variable color change on the vulva of 8 months in duration.
Areas of tan and white skin were observed on the mons pubis. The pubic hair had been shaved. Initially, the paler areas were deemed abnormal suggesting vitiligo, but the biopsy showed normal skin including normal numbers of melanocytes. Subsequently, biopsy of the tan area showed pityriasis versicolor. She was successfully treated with topical 2% ketoconazole, with gradual fading of lesions.
With increased body awareness and the current popularity of pubic hair removal, young women may consult clinicians about color changes on the vulva. Clinicians should be aware that vulvar pityriasis versicolor may occur in healthy women with no other skin involvement.
报告一例24岁健康女性的孤立性外阴花斑糠疹病例。
一名24岁女性，外阴出现颜色变化8个月。
在耻骨联合处观察到棕褐色和白色皮肤区域。阴毛已剃除。最初，较浅色区域被认为异常，提示白癜风，但活检显示皮肤正常，包括黑素细胞数量正常。随后，对棕褐色区域的活检显示为花斑糠疹。她通过外用2%酮康唑成功治愈，病变逐渐消退。
随着身体意识的增强和目前阴毛去除的流行，年轻女性可能会就外阴颜色变化咨询临床医生。临床医生应意识到，外阴花斑糠疹可能发生在无其他皮肤受累的健康女性中。
