title: Topical misoprostol therapy for plasma cell vulvitis: a case series.
abstract: OBJECTIVE
  To present the first reported case series of plasma cell vulvitis successfully treated with topical misoprostol.
  
  
  METHODS
  Three women with vulvar pain and lesions secondary to plasma cell vulvitis refractory to conventional therapy were treated with topical misoprostol compounded in white petrolatum.
  
  
  RESULTS
  All three patients had resolution of pain and lesions within 6 weeks of starting topical misoprostol. All patients tolerated the 0.01% concentration; however, local side effects were seen with the higher 0.02% concentration.
  
  
  CONCLUSIONS
  Plasma cell vulvitis is a rare and painful vulvar disorder that is often refractory to therapy. All three patients in this case series were successfully treated with topical misoprostol. The immunosuppressive effects of misoprostol are hypothesized to be the mechanisms of action of this novel therapy for plasma cell vulvitis.
authors.affiliation: The University of Colorado Health Sciences Center, 4200 East 9th Avenue, Denver, CO 80262, USA. jennifer.gunter@uchsc.edu
authors.forename: Jennifer
authors.initials: J
authors.lastname: Gunter
authors.forename: Loren
authors.initials: L
authors.lastname: Golitz
mesh_terms: D000282:Administration, Intravaginal; D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D007166:Immunosuppressive Agents / Q000008:administration & dosage*; D008875:Middle Aged; D016595:Misoprostol / Q000008:administration & dosage*; D010950:Plasma Cells / Q000276:immunology*; D017698:Postmenopause; D016896:Treatment Outcome; D014847:Vulvitis / Q000188:drug therapy* / Q000276:immunology
chemical_list: D007166:Immunosuppressive Agents; D016595:Misoprostol