ABSTRACT
A 64-year-old woman presented to her general practitioner complaining of a painful genitals. She reported a 4-day history of discomfort and pruritus around her vulva and was struggling to pass urine due to the pain. Her past medical history included polymyalgia rheumatica and her current medications were ibuprofen 400 mg PO TDS and prednisolone 20 mg PO OD. She had no known drug allergies and worked as a headmistress. She did not drink alcohol regularly or smoke.
