case_images: PMC10343120_01
case_images: (a): Multiple, small, uniformly arranged, skin-colored, monomorphic micropapillae on the inner aspect of labia minora. (b) Mucosal hyperplasia with papillomatosis with loosely arranged subdermal tissue (H and E, x100); (Inset): Mucosal hyperplasia with no koilocytes seen in the epidermis (H and E, x400)
case_images: IJSTD-44-64-g001.jpg
case_images: PMC10343120_01_IJSTD-44-64-g001.jpg
case_images: F1
case_images: Examination revealed multiple, small, uniformly arranged, skin-colored, and smooth-surfaced, monomorphic micropapillae covering the inner aspect of the labia minora [Figure 1a]. On vulval biopsy, mucosal hyperplasia with papillomatosis with loosely arranged subdermal tissue was seen [Figure 1b; H and E, x100]. No koilocytes were identified [Figure 1b inset; H and E, x400] and the diagnosis of vulvar VP was confirmed.