case_images: PMC3085391_01
case_images: After treatment with beta-blocker (a). Acute flare (b).
case_images: CRIM2011-374167.001.jpg
case_images: PMC3085391_01_CRIM2011-374167.001.jpg
case_images: fig1
case_images: A 67-year-old Caucasian female presented for evaluation of persistent burning pain and itching in the vulvar region accompanied by marked erythema and warmth to the touch (Figure 1). While this regimen provided some relief, she continued to experience "flares." Consequently, the patient was asked to return upon recurrence of a "flare" for evaluation and photographic documentation (Figure 1(a)). Within 2 weeks of her primary care provider adding a beta blocker (nebivolol) to her medical regimen, she noted a drastic improvement in her symptoms of vulvar burning and accompanying erythema (Figure 1(b)).