Painful catamenial vulvar lesions misleading gynecologist

Şule Yıldız, Esra Bilir, Bahar Yilmaz Dikmen, Pınar Bulutay, Engin Türkgeldi, Barış Ata
In: Journal of Endometriosis and Pelvic Pain Disorders · 2022 · vol. 14(1) , pp. 63–66 · doi:10.1177/22840265211067126 · W4205307541
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A case study describes a 32-year-old woman misdiagnosed with endometriosis for painful vulvar lesions that were ultimately identified as hidradenitis suppurativa and successfully treated with doxycycline.

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Abstract

Endometriosis usually presents as cyclical pain in the pelvis but may also present as painful cutaneous lesions. Many diseases may mimic hidradenitis suppurativa (HS) since HS, a chronic inflammatory painful skin disease, is a clinical diagnosis. A 32-year-old woman presented with painful lumps on her vulva and groin accompanied with bloody discharge during menstruation. She was followed up with preliminary diagnosis of endometriosis. Previous excision without definitive diagnosis resulted in temporary relief. She was prescribed oral contraceptive pills that alleviated her symptoms but quitted due to headache. Surgical excision was performed for definitive diagnosis and therapeutic relief. Pathology report revealed HS. She was prescribed oral doxycycline. She responded well to the therapy and has symptom-free for the last 2 years. She delivered one healthy girl via cesarian section 2 years after the treatment. Endometriosis and HS should be included in the differential diagnosis when women present with menstrual painful lesions around external genitalia for diagnosis and treatment.

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Condition tags

endometriosis

Citation neighborhood (2-hop)

Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. Outer rings show 2-hop neighbours — papers reached through the immediate citers/citees. [ collapse to 1-hop ]

References (14)

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