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DDx: | DDx: | ||
*[[Syphilis]] - Spirochete immunostain (in red) is helpful. | *[[Syphilis]] - Spirochete immunostain (in red) is helpful. | ||
*Spongiotic vulvitis | *Spongiotic vulvitis. | ||
**Might look very similar | **Might look very similar. | ||
**Usually wont show iron deposition | **Usually wont show iron deposition. | ||
**Clinical correlation important | **Clinical correlation important. | ||
*Superficial fungal vulvitis (usually Candida) | *Superficial fungal vulvitis (usually Candida). | ||
*Lichenoid vulvitis (lichen planus/lichenoid drug reaction). | *Lichenoid vulvitis (lichen planus/lichenoid drug reaction). | ||
**Both can be very plasmocellular on mucosal surfaces. | **Both can be very plasmocellular on mucosal surfaces. | ||
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