Two women with vulvodynia are described. In one patient, severe chroni
c vulvodynia developed secondary to contact dermatitis. Patch-testing
confirmed the offending allergens. A second patient with vulvodynia wa
s severely dermatographic. Evaluation of patients with vulvodynia shou
ld include an appropriate medical history and diagnostic studies to ex
clude contact dermatitis and dermatographism. Effective treatment for
these disorders may lead to dramatic relief of symptoms.