Objective: This study aimed to describe 2 cases of vulvar psoriasis and vitiligo resulting in a striking clinical appearance.
Materials and Methods: Case 1 was of a 41-year-old woman concerned about a dark pigmentation around the introitus. Case 2 was of an 80-year-old woman with vulvar itch and red, white, and brown areas.
Results: The vulva in each case showed a tricolored appearance of well-demarcated red, white, and brown colors. Biopsies showed psoriasis superimposed on vitiligo in the red, vitiligo in the white, and normal skin in the brown areas.
Conclusions: When psoriasis and vitiligo are colocalized, the redness of the psoriasis may mask the vitiligo resulting in a striking red, white, and brown tricolored appearance.
The combination of vulvar psoriasis and vitiligo manifests a striking tricolored appearance.
1Hunter Area Pathology Service, Faculty of Health Sciences, University of Newcastle, Newcastle; and 2Riverina Dermatology, Wagga Wagga, NSW, Australia
Reprint requests to: James Scurry, FRCPA, HAPS, Locked Bag No. 1, Hunter Region Mail Centre, NSW 2310, Australia. E-mail: firstname.lastname@example.org
The authors have declared they have no conflicts of interest.
Kyi Saw Tin is a medical student at the University of Newcastle, Newcastle, NSW, Australia.