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Radiotherapy‐induced Pemphigus Foliaceous: a rare adverse effect of breast cancer therapy

presence at vulvar level of vessels with the same morphology described for balanitis but also an almost overlapping prevalence of different vascular patterns. A discrepancy with respect to balanitis is that, in our series, the vessels were arranged focally in some cases, especially where the orange to yellowish patches are more marked, but also diffusely throughout lesions in others. Dotted vessels were observed in two patients, none of which had been previously treated with corticosteroids. A role of corticosteroids in affecting the vascular pattern in PCM cannot be excluded. Overall, our findings indicate that there are not substantial differences by gender on dermoscopy of PCM. Specific dermoscopic patterns are constant features in genital PCM and strongly characterize this condition, especially either focal or diffuse bright red–orange–yellowish structureless areas, and a rich pleomorphic vascularization. In agreement with previous observations, dermoscopy could be included as a part of the clinical inspection of genital diseases in order to support noninvasive diagnosis.