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Hart’s line

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In some patients, there may be a very distinct line which represents the transition from the keratinised skin of the labium minus to the vestibular mucosa. This was first described by the Edinburgh gynaecologist David Berry Hart in his textbook of gynaecology in 1882 [18] and is termed ‘Hart’s line’. He wrote ‘a line running separates mucous membrane from skin – starting at the base of the inner aspect of the right labium minus, it passes down beside the base of the outer aspect of the hymen, up along the base of the inner aspect of the left labium minus, in beneath the prepuce of the clitoris and down to where it started from’. This is often very obvious, particularly in young women, and the normal mucosal surface medially is frequently mistaken for inflammation (Figure 2.5).

Ridley's The Vulva

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