Recurrent Vulvar Ulcers and “Cradle Cap” in a 2-Year-Old

A 2-year-old white female with recurrent methicillin-resistant Staphylococcus aureus otitis media and persistent "cradle cap" was referred for dermatologic evaluation of recurrent, painful vaginal ulcers present for 10 months. The symptoms began with severe vaginal pain during urination and diaper changes. She subsequently developed painful, solitary, bilateral ulcers on the labia majora that responded minimally to topical menthol-zinc oxide and clobetasol. Observation without treatment led to resolution of the ulcers within 3 weeks; the ulcers reoccurred 2 months later.

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