Capillary hemangiomas of the vulva mistaken for sexual abuse

Study Objective: To describe unusual features of vulvar hemangiomas which may mimic lesions caused by lichen sclerosus and sexual abuse.

Design and Participants: A case report of a 7-year-old child with unusual appearance of vulvar hemangiomas.

Setting: The patient was seen at the Pediatric and Adolescent Gynecology Clinic at the University of Tennessee, Memphis.

Interventions: Key Punch biopsies and CO₂ laser ablation of the vulvar lesions.

Results: All lesions were removed, resulting in complete relief of symptoms.

Conclusions: Capillary hemangiomas of the vulva may mimic findings and symptoms of lichen sclerosis or sexual abuse. Biopsy may be required to establish the correct diagnosis.