case_images: PMC7529167_01
case_images: Swelling rising from vulva, asymmetric, firm-lobulated swelling. Multiple, oval to linear, typical knife cutting deep ulcers with well-demarcated margins of size varying from 0.5 to 5 cm
case_images: IJSTD-41-110-g001.jpg
case_images: PMC7529167_01_IJSTD-41-110-g001.jpg
case_images: F1
case_images: Histopathology showing epithelioid cell granuloma and inflammatory cells
case_images: IJSTD-41-110-g002.jpg
case_images: PMC7529167_01_IJSTD-41-110-g002.jpg
case_images: F2
case_images: We repeated a biopsy which showed epithelioid cell granuloma in the dermis with dense chronic inflammatory infiltrate comprising lymphocytes and plasma cells, as shown in Figure 2.
case_images: Significant healed ulcers after six cycles of adalimumab
case_images: IJSTD-41-110-g003.jpg
case_images: PMC7529167_01_IJSTD-41-110-g003.jpg
case_images: F3