Abstract
A 30-year-old woman presented with a spreading papular eruption on the vulva, inguinal, and perianal skin of 9 years' duration. A prior course of prednisone provided temporary resolution. Treatment of recent flares with desonide, mupirocin, and topical tacrolimus were ineffective. Medical history was relevant for herpes simplex labialis treated with acyclovir. A similar eruption was observed in her father and paternal grandmother. Physical examination found agminated papules forming plaques on the labia majora and multiple 2- to 5-mm skin-colored exophytic papules on the inner thighs (Fig 1) and perianal skin.
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