A 35-year-old African American female presents to her primary physician’s office for evaluation of a female problem. She reports being very itchy and says she finds herself constantly scratching her...

A 35-year-old African American female presents to her primary physician’s office for evaluation of a female problem. She reports being very itchy and says she finds herself constantly scratching her “female area.” A biopsy of the white patch found on her vulva identifies hyperplastic overgrowth of surface squamous epithelium. What treatment is advised?

 A. Topical antihistamines

 B. Topical steroids

 C. Locally injected steroids

 D. Any of the above