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A postmenopausal woman in her 70 s with body mass index (BMI) of 36 kg/m 2 and without comorbidities presented to our gynaecology clinic with a history of worsening vulval pain followed by an open wound in the same area for the last 15 days. She underwent proximal femoral nailing (PFN) for an intertrochanteric fracture of the left femur following a trivial fall 20 days before presentation to our clinic. The patient had no other complaints of similar lesions previously or elsewhere in the body over any bony prominence. There was no history of fever, rash, oral ulcers, photosensitivity, alopecia, joint pain/swelling or any perineal trauma. Her family history was unremarkable for any autoimmune conditions. On examination, all peripheral pulses were palpable and blood pressure was within normal limits. There was no inguinal lymphadenopathy.