{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T01:37:39Z","timestamp":1787017059199,"version":"build-2736575974"},"reference-count":8,"publisher":"BMJ","issue":"3","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2025,2,21]]},"published-print":{"date-parts":[[2025,3]]},"abstract":"<jats:p>This case study presents the clinical journey of an elderly woman in her late 70s seeking medical attention for vulvar discomfort. Upon observing a red area on the vulvar region, initial management involved the use of clobetasol due to suspicion of lichen sclerosus, a condition linked to vulvar discomfort and erythematous patches.<\/jats:p>\n                  <jats:p>After 1 year, the patient reported symptom improvement, but a persistent red area on the labia minora prompted a biopsy. Surprisingly, the biopsy revealed Zoon\u2019s Vulvitis, a diagnosis not anticipated due to the unusual clinical presentation. This case underscores the significance of considering rare conditions, such as Zoon\u2019s Vulvitis, even in vulvar abnormalities with atypical features. Further research is warranted to enhance our understanding of the varied clinical presentations of Zoon\u2019s Vulvitis.<\/jats:p>","DOI":"10.1136\/bcr-2024-262578","type":"journal-article","created":{"date-parts":[[2025,3,26]],"date-time":"2025-03-26T02:20:45Z","timestamp":1742955645000},"page":"e262578","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":1,"title":["Rare encounter: Zoon\u2019s Vulvitis in clinical perspective"],"prefix":"10.1136","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-0519-0960","authenticated-orcid":false,"given":"Somya","family":"Kaushik","sequence":"first","affiliation":[{"name":"Obstetrics and Gynaecology, Crosshouse Hospital, Kilmarnock, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Santanu","family":"Acharya","sequence":"additional","affiliation":[{"name":"Obstetrics and Gynaecology, Crosshouse Hospital, Kilmarnock, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mumba","family":"Everisto","sequence":"additional","affiliation":[{"name":"Histopathology, Crosshouse Hospital, Kilmarnock, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2025,3,25]]},"reference":[{"key":"2025082722002326000_18.3.e262578.1","doi-asserted-by":"crossref","first-page":"756","DOI":"10.1016\/j.ijwd.2021.04.005","article-title":"Plasma cell vulvitis: A systematic review","volume":"7","author":"Sattler","year":"2021","journal-title":"Int J Womens Dermatol"},{"key":"2025082722002326000_18.3.e262578.2","doi-asserted-by":"publisher","DOI":"10.1177\/2325957412467694"},{"key":"2025082722002326000_18.3.e262578.3","doi-asserted-by":"crossref","first-page":"166","DOI":"10.1590\/abd1806-4841.20175622","article-title":"Zoon vulvitis","volume":"92","author":"Damiani","year":"2017","journal-title":"An Bras Dermatol"},{"key":"2025082722002326000_18.3.e262578.4","doi-asserted-by":"publisher","DOI":"10.1097\/00000372-200212000-00001"},{"key":"2025082722002326000_18.3.e262578.5","first-page":"29","article-title":"Vulvitis de Zoon","volume":"25","author":"Jonquieres","year":"1975","journal-title":"Arch Argent Dermatol"},{"key":"2025082722002326000_18.3.e262578.6","doi-asserted-by":"crossref","unstructured":"Bunker CB , Neill SM . The genital, perianal and umbilical regions. In: Rook A , Griffiths CEM , Barker J , et al , eds. Rook\u2019s textbook of dermatology. 8th edn. Oxford: Wiley-Blackwell, 2010: 1\u201302.","DOI":"10.1002\/9781444317633.ch71"},{"key":"2025082722002326000_18.3.e262578.7","doi-asserted-by":"crossref","first-page":"113","DOI":"10.1159\/000367786","article-title":"Symptoms in plasma cell vulvitis: first observational cohort study on type, frequency and severity","volume":"230","author":"Virgili","year":"2015","journal-title":"Dermatology (Basel)"},{"key":"2025082722002326000_18.3.e262578.8","doi-asserted-by":"crossref","first-page":"732","DOI":"10.31729\/jnma.7622","article-title":"Plasma Cell Vulvitis Treated with Platelet-rich Plasma: A Case Report","volume":"60","author":"Oli","year":"2022","journal-title":"JNMA J Nepal Med Assoc"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2024-262578","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T05:00:34Z","timestamp":1756357234000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2024-262578"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,3]]},"references-count":8,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2025,3,25]]},"published-print":{"date-parts":[[2025,3]]}},"alternative-id":["10.1136\/bcr-2024-262578"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2024-262578","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,3]]}}}