Vulvar sarcoidosis: case report and review of the literature.

BACKGROUND

Sarcoidosis is a multisystemic disorder of unknown etiology that can affect multiple organs, including the lungs, skin, and eyes. Vulvar sarcoidosis has anecdotally been reported.

OBJECTIVE

The aim of this article is to describe a case of vulvar sarcoidosis and review the few cases that have been reported.

METHODS

We report the case of a 39-year-old woman who presented to the dermatologist with a 2-year history of vulvar pruritus.

RESULTS

Examination revealed infiltrated plaques on the vulva and perianal region. The biopsy demonstrated well-defined, non-necrotizing granulomas in the dermis. Further investigation revealed hilar adenopathy consistent with sarcoidosis. The patient responded well to topical corticosteroids.

CONCLUSION

In the presence of granulomatous lesions of the genital region, infectious causes, foreign body reaction, Crohn disease, and sarcoidosis should be part of the differential diagnosis.