Scottsdale 2012 Didactic Session VIII Case Vignette 46


    91 y/f, Inguinal , L crease

    WF with longstanding h/o extramammary paget’s disease of vulva, on MTX with significant improvement, also with h/o intertrigo using HC cream 2.5% and spectazole at L inguinal crease; exam notable for five well-demarcated erythematous indurated edematous papules with granulation like appearance.