IJWD Image Quiz Challenge

Images in Women's Dermatology Quiz

What is the diagnosis?


A 63-year-old female with history of pancreatic cancer presented to clinic due to gradual onset of a pruritic rash in the inguinal folds, pannus, and vaginal labia. The patient's past medical history was notable for pancreatic carcinoma with initiation of combination chemotherapy with oxyplantin/5-fluorouracil/irinotecan approximately two weeks prior to the onset of the rash. There was no improvement in the rash with the use of topical antifungal cream.