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Vulvar Pityriasis Versicolor in an Immunocompetent Woman

Day, Tania MD1; Scurry, James FCRPA2

Journal of Lower Genital Tract Disease: July 2014 - Volume 18 - Issue 3 - p e71–e73
doi: 10.1097/LGT.0b013e3182a874bb
Case Reports

Objective: To report a case of isolated vulvar pityriasis versicolor in a 24-year-old healthy woman.

Materials and Methods: A 24-year-old woman presented with variable color change on the vulva of 8 months in duration.

Results: Areas of tan and white skin were observed on the mons pubis. The pubic hair had been shaved. Initially, the paler areas were deemed abnormal suggesting vitiligo, but the biopsy showed normal skin including normal numbers of melanocytes. Subsequently, biopsy of the tan area showed pityriasis versicolor. She was successfully treated with topical 2% ketoconazole, with gradual fading of lesions.

Conclusions: With increased body awareness and the current popularity of pubic hair removal, young women may consult clinicians about color changes on the vulva. Clinicians should be aware that vulvar pityriasis versicolor may occur in healthy women with no other skin involvement.

The case of a healthy 24-year-old woman with isolated vulvar pityriasis versicolor, diagnosed by biopsy and successfully treated with topical ketoconazole.

1Maternity and Gynaecology, John Hunter Hospital; and 2Anatomical Pathology, Hunter Area Pathology Service, Newcastle, Australia

The authors have declared they have no conflicts of interest.

There are no funding sources.

Reprint requests to: Tania Day, MD, Maternity and Gynaecology, John Hunter Hospital, 2 Lookout Rd, New Lambton Heights, NSW 2305, Australia. E-mail: tania.day@hnehealth.nsw.gov.au

Copyright © 2014 by the American Society for Colposcopy and Cervical Pathology