3rd July 2023

A 70-year-old woman presents with a 2-month history of itching near her buttocks and around her genital area

A 70-year-old woman presents with a 2-month history of itching near her buttocks and around her genital area. On examination, you note a depigmented patch 2cm lateral to the anus on the right side, as well as some white spots on the vulva.

Given the likely diagnosis, what is the first line treatment?

Select the SINGLE most appropriate option from the list below. Select ONE option only.