title: Vulval papules: a case for diagnosis.
abstract: You are asked to examine a 68-year-old woman with a 3-year history of multiple bilateral and largely asymptomatic white papules on her labia majora. Based on the history and photographs, what is your diagnosis?
authors.affiliation: Department of Dermatology, Royal North Shore Hospital, Sydney, New South Wales, Australia.
authors.forename: Penelope Am
authors.initials: PA
authors.lastname: Bunce
authors.forename: Shreya
authors.initials: S
authors.lastname: Dixit
authors.forename: Gayle O
authors.initials: GO
authors.lastname: Fischer
mesh_terms: D000051:Acantholysis / Q000473:pathology*; D000368:Aged; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D007642:Keratosis / Q000473:pathology*; D014845:Vulvar Diseases / Q000175:diagnosis*
keywords: acantholysis; dyskeratosis; papular; vulva