Two cases of vulvodynia with unusual causes.

Two women with vulvodynia are described. In one patient, severe chronic vulvodynia developed secondary to contact dermatitis. Patch-testing confirmed the offending allergens. A second patient with vulvodynia was severely dermatographic. Evaluation of patients with vulvodynia should include an appropriate medical history and diagnostic studies to exclude contact dermatitis and dermatographism. Effective treatment for these disorders may lead to dramatic relief of symptoms.