IJWD Image Quiz Challenge

Images in Women's Dermatology Quiz

What is the most likely diagnosis?


A 43-year-old woman with a history of obesity and type 2 diabetes mellitus presented with cutaneous lesions in the vulva and groin, which had been present for > 1 year. The lesions began as small, tender, erythematous follicular papules that healed with flaccid, wrinkled protuberant plaques ( Fig. 1 ). Symptoms included pain with friction and recurrent mons pubis swelling. The patient endorsed shaving the area and using depilatories, both which resulted in bleeding and irritation. Laboratory test results, including a test for antinuclear antibodies, were unremarkable.