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Line 58: | Line 58: | ||
DDx: | DDx: | ||
*[[Syphilis]] - Spirochete immunostain (in red) is helpful. | *[[Syphilis]] - Spirochete immunostain (in red) is helpful. | ||
*Spongiotic vulvitis | *Spongiotic vulvitis | ||
* | **Might look very similar | ||
**Usually wont show iron deposition | |||
**Clinical correlation important | |||
*Lichenoid vulvitis (lichen planus/lichenoid drug reaction). | |||
**Both can be very plasmocellular on mucosal surfaces. | **Both can be very plasmocellular on mucosal surfaces. | ||
**Zoon vulvitis won't show prominent lichenoid destruction of the epithelium. | **Zoon vulvitis won't show prominent lichenoid destruction of the epithelium. |
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