5-aminolevulinic acid (ALA) photodynamic therapy successfully treated chronic vulvar eczema with multiple warts: A case report.

The skin barrier function of the female vulva is susceptible to chronic eczema. Currently, the primary treatment for local chronic eczema is topical corticosteroids. However, long-term corticosteroid treatment can further damage the skin barrier, resulting in bacterial or viral infections that complicate the condition. Once chronic eczema is associated with viral warts, medication choices are limited. In this case report, a patient with a ten-year history of chronic vulvar eczema became infected with human papillomavirus and eventually developed multiple warts. After three sessions of photodynamic therapy, all warts subsided, and her skin lichenification and pruritis improved.