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A 40 yo with hx of hep c comes to GP because of dyspareunia and intense itching and burning of the vulva for several months. Vitals are between the flags. Exam of vulva shows flat shiny violaceous papules and plaques surrounded by lacy white lines. Vaginal mucosa is erythematous and friable with multiple shallow erosions. Lacy white lines are also visible on oral mucosa. 1. What is the most likely diagnosis? 2. What makes you think this? 3. What would you see on microscopy?

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The development of the reproductive system begins with the formation of undifferentiated gonads and the paired mesonephric and paramesonephric ducts.


1. A 40 yo with hx of hep c comes to GP because of dyspareunia and intense itching and burning of the vulva for several months. Vitals are between the flags. Exam of vulva shows flat shiny violaceous papules and plaques surrounded by lacy white lines. Vaginal mucosa is erythematous and friable with multiple shallow erosions. Lacy white lines are also visible on oral mucosa. 1. What is the most likely diagnosis? 2. What makes you think this? 3. What would you see on microscopy?





 
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