Abstract
A54-year-oldwomanpresentedwithanapproximately2-year history of lesions in the vulvar area, which had increased in numberandhadbecomepruriticoverthepastseveralmonths. Shehadahistoryofhuman immunodeficiencyvirus (HIV) with a normal CD4 count while receiving triple antiretroviral therapy, as well as a history of cervical dysplasia previously treated and followed by her gynecologist. Her familyhistorywasnegative forsimilar lesions.Onexamination, she had numerous discrete monomorphous white to skincolored keratotic papules involving her labia majora, proximal medial thighs, perineum, and gluteal cleft (Figure 1). The rest of the findings from her skin examinationwerenormal.Abiopsyspecimenwastaken(Figure2 and Figure 3). What is your diagnosis?
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