Differential diagnosis of erosions on the vulva

Common	Less common	Rare
Excoriation Fissures Posterior fourchette fissures Skinfold fissures Candidiasis Herpes simplex virus Lichen simplex chronicus Erosive lichen sclerosus Erosive lichen planus Impetigo Irritant contact dermatitis Trauma (physical and chemical)	Allergic contact dermatitis Erosions following vesicles or bullae Herpes zoster Erythema multiforme Eroded malignancy	Hailey-Hailey disease Extramammary Paget disease Toxic epidermal necrolysis Autoimmune blistering diseases Pemphigus vulgaris Bullous pemphigoid Cicatrical pemphigoid Pemphigoid gestationis

The prevalence categories refer to vulvar manifestations of the listed diseases. The relative frequency of each may vary based on the patient population, geography, and type of clinical practice (eg, gynecology, dermatology, or internal medicine).

Graphic 95984 Version 8.0

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Differential diagnosis of erosions on the vulva