Nonfluorescent erythrasma of the vulva.

Abstract:

BACKGROUND:Erythrasma is an uncommon vulvar infection, best diagnosed by its fluorescence under the Wood lamp. This report shows that despite a negative Wood lamp examination, the diagnosis can be made histologically. CASE:A 42-year-old woman was referred to our clinic with a persistent candidal infection. Evaluation included a Wood lamp examination, wet mount, and potassium hydroxide test of the affected skin, all of which were negative. A biopsy of the area demonstrated rods and filamentous organisms in the keratotic layer consistent with a Corynebacterium minutissimum infection. The patient was diagnosed as having erythrasma, and she responded to oral erythromycin. CONCLUSION:Persistent vulvar diseases may be caused by erythrasma despite a negative Wood lamp examination. The diagnosis can be made by biopsy of the lesion.

journal_name

Obstet Gynecol

authors

Mattox TF,Rutgers J,Yoshimori RN,Bhatia NN

subject

Has Abstract

pub_date

1993-05-01 00:00:00

pages

862-4

issue

5 ( Pt 2)

eissn

0029-7844

issn

1873-233X

journal_volume

81

pub_type

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