Differential diagnosis of vesicles and bullae on the vulva

Common	Less common	Rare
Herpes simplex virus Herpes zoster Bullous impetigo	Erythema multiforme Contact dermatitis	Autoimmune blistering diseases Bullous pemphigoid Pemphigoid gestationis (herpes gestationis) Pemphigus vulgaris Cicatricial pemphigoid (mucous membrane pemphigoid) Fixed drug eruption Hailey-Hailey disease Lymphangioma/lymphangiectasia Bullous lichen sclerosus Other autoimmune conditions Stevens-Johnson syndrome Toxic epidermal necrolysis Linear IgA bullous dermatosis Epidermolysis bullosa acquisita

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).

IgA: immunoglobulin A.

Graphic 95995 Version 7.0

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Differential diagnosis of vesicles and bullae on the vulva