Vulvar skin disorders (benign) Quiz: Ace Your Exams
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A 35-year-old woman presents to the clinic with a 10-month history of persistent pruritus in the vulvar area. She reports that the itching worsens at night, and that the need to scratch can feel “uncontrollable” at times. She has tried multiple over-the-counter antifungal creams without relief. There are no other areas of skin irritation. Vital signs are within normal limits. On physical examination, you observe areas of well-demarcated, erythematous, thickened skin with exaggerated skin lines (giving a bark-like appearance) on the vulva. There are also some excoriated areas. No vaginal discharge is present. Based on the patient's history and physical examination findings, which of the following is most likely to be associated with her condition?
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