2017, Number 1
<< Back Next >>
Med Cutan Iber Lat Am 2017; 45 (1)
Vulvitis circumscripta plasmacellularis. A case report
Fernández BR, Nipoti J, Rodríguez P, Piccirili G, Gorosito MD, Fernández BRA
Language: Spanish
References: 15
Page: 45-47
PDF size: 287.40 Kb.
ABSTRACT
Zoon’s vulvitis is a benign entity described by Garnier in 1954. Its precise incidence is unknown, as well as its etiopathogenesis, although a variety of triggering factors have been suspected such as chronic infections, excessive sweating, poor hygiene, and trauma. We present the clinical case of a 67-year-old patient with a diagnosis of vulvitis circumscripta plasmacellularis (Zoon’s). The case is presented because of its low frequency and good response with topical clobetasol. The histopathology is important for diagnosis; a differential diagnosis is necessary with other entities such as STDs, dermatological and systemic diseases (SLE, Crohn’s disease, Behçet), and even precancerous lesions or carcinomas.
REFERENCES
Zoon JJ. Chronic benign circumscript plasmocytic balanoposthitis. Dermatologica. 1952; 105 (1): 1-7.
Garnier G. Benign plasma-cell erythroplasia. Br J Dermatol. 1957; 69 (3): 77-81.
Coringrato M, Belatti A, Martinetti C, Maronna E, Olivares L. Dermatosis plasmocitarias benignas, integración y revisión del tema. Rev Argent Dermatol. 2010; 91 (1): 1-17.
Parra V. Patología de la vulva. En: Gatti FC, Lupi O, Ocampo Candiani J. Dermatología: guías de actualización clínica. Cap. 87. Río de Janeiro: AC Farmacéutica; 2015. pp. 657-666.
Fuertes L, Monsálvez V, Rivera R. Prurito vulvar de larga duración. Actas Dermosifiliogr. 2009; 100: 509-510.
Martinetti C, Leiro V, Maronna LE, Coringratto M. Vulvitis de Zoon. Dermatol Argent. 2011; 17 (3): 243-245.
Chan MP, Zimarowski MJ. Vulvar dermatoses: a histopathologic review and classification of 183 cases. J Cutan Pathol. 2015; 42 (8): 510-518.
Virgili A, Levratti A, Marzola A, Corazza M. Retrospective histopathologic reevaluation of 18 cases of plasma cell vulvitis. J Reprod Med. 2005; 50 (1): 3-7.
Solt I, Lowenstein L, Amit A, Bergman R, Kerner H. Ulcerative vulvitis circumscripta plasmacellularis. Isr Med Assoc J. 2004; 6 (2): 117-118.
Gurumurthy M, Cairns M, Cruickshank M. Case series of Zoon vulvitis. J Low Genit Tract Dis. 2010; 14 (1): 56-58.
Botros SM, Dieterich M, Sand PK, Goldberg RP. Successful treatment of Zoon’s vulvitis with high potency topical steroid. Int Urogynecol J Pelvic Floor Dysfunct. 2006; 17 (2): 178-179.
Frega A, Rech F, French D. Imiquimod treatment of vulvitis circumscripta plasmacellularis. Int J Gynaecol Obstet. 2006; 95 (2): 161-162.
Kyriakou A, Patsatsi A, Patsialas C, Sotiriadis D. Therapeutic efficacy of topical calcineurin inhibitors in plasma cell balanitis: case series and review of the literature. Dermatology. 2014; 228 (1): 18-23.
Virgili A, Mantovani L, Lauriola MM, Marzola A, Corazza M. Tacrolimus 0.1% ointment: is it really effective in plasma cell vulvitis? Report of four cases. Dermatology. 2008; 216 (3): 243-246.
Toeima E, Sule M, Warren R, Igali L. Diagnosis and treatment of Zoon’s vulvitis. J Obstet Gynaecol. 2011; 31: 473-475.