Differentials
Lichen sclerosus
SIGNS / SYMPTOMS
Hour-glass configuration; chronic condition; hypopigmentation.[52]
INVESTIGATIONS
Clinical diagnosis by a specialist.
Symptoms are relieved with corticosteroid treatment.
Urethral prolapse
SIGNS / SYMPTOMS
Doughnut-shaped urethral mass with hematuria.[53]
INVESTIGATIONS
Clinical diagnosis.
Nevus
SIGNS / SYMPTOMS
Persistent finding of brown or black papule or macule on repeat exam.
INVESTIGATIONS
Clinical diagnosis.
Hemangioma
SIGNS / SYMPTOMS
Persistent finding of red nodule on repeat exam.
INVESTIGATIONS
Clinical diagnosis.
Molluscum contagiosum
SIGNS / SYMPTOMS
Smooth umbilicated lesions.
INVESTIGATIONS
Clinical diagnosis.
Nonspecific vaginitis
SIGNS / SYMPTOMS
History of use of potential irritants (e.g., bubble-bath); poor hygiene. Vaginal irritation may lead to friability and bleeding.
INVESTIGATIONS
Clinical diagnosis.
Vaginal foreign body
SIGNS / SYMPTOMS
May present with vaginal discharge, vaginitis, or vaginal bleeding; toddlers and elementary school age children. Toilet paper is most common foreign body.[54]
INVESTIGATIONS
Clinical diagnosis.
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