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Differential diagnosis of erosions on the vulva

Differential diagnosis of erosions on the vulva
Common Less common Rare
  • Excoriation
  • Fissures
    • Posterior fourchette fissures
    • Skinfold fissures
      • Candidiasis
      • Herpes simplex virus
      • Lichen simplex chronicus
      • Erosive lichen sclerosus
  • Erosive lichen planus 
  • Impetigo
  • Irritant contact dermatitis 
  • Trauma (physical and chemical) 
  • Allergic contact dermatitis
  • Erosions following vesicles or bullae
    • Herpes zoster
    • Erythema multiforme
  • Eroded malignancy  
  • Hailey-Hailey disease
  • Extramammary Paget disease
  • Toxic epidermal necrolysis
  • Autoimmune blistering diseases
    • Pemphigus vulgaris
    • Bullous pemphigoid
    • Cicatrical pemphigoid
    • Pemphigoid gestationis
The prevalence categories refer to vulvar manifestations of the listed diseases. The relative frequency of each may vary based on the patient population, geography, and type of clinical practice (eg, gynecology, dermatology, or internal medicine).
Graphic 95984 Version 8.0

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