Hypopigmented vulvar skin and hair in vitiligo.

Lichen Simplex Chronicus

Lichen Simplex Chronicus

Fusion of the prepuce over the glans clitoris and loss of the labia minora, along with whitened plaque and crinkled whitened skin, with patches of post inflammatory hyperpigmentation indicate lichen sclerosus.

Lichen sclerosus can present with subtle changes in the skin: Note the asymmetry of the labia minora, with flattening on the patient’s right side. Note whitened skin on the right labium minus. Note the thin prepuce that is shrinking back, exposing the glans clitoris. Note the thickened white skin in the perineal area.

Lichen Sclerosus

Lichen Sclerosus

Lichen Sclerosus

Lichen Sclerosus

Lichen Sclerosus

Lichen Sclerosus

Lichen Sclerosus

Lichen Sclerosus

Lichen Sclerosus

Lichen Sclerosus

Lichen Sclerosus

Loss of most of the clitoris and labia minora in lichenified lichen sclerosus.

Lichen Sclerosus

End-stage scarred lichen sclerosus with urinary retention. This 76 year old had a problem for more than 40 years, undiagnosed.

Figure-of-eight pattern of lichen sclerosus with labiocrural extensions. Notice the scarring, fissuring, and hematoma formation.

Lichen Planus and Lichen sclerosus

Lichen Planus

Lichen Planus

Lichen Planus

Lichen Planus

Lichen Planus

Lichen Planus

Lichen Planus and Lichen sclerosus

Lacy reticulated pattern of lichen planus with periclitoral scarring in a 71-year-old woman who has had oral lichen planus for 10 to 15 years, cutaneous lichen planus of arms and legs for 18 months, and bouts of erosive vaginal lichen planus with scarring and partial vaginal stenosis.

Lichen Planus

Lichen Planus

Lichen Planus

Post-Inflammatory Hypopigmentation

Post-Inflammatory Hypopigmentation

Post-inflammatory hyperpigmentation of right interlabial sulcus and labium major with some hypopigmentation in lichen simplex chronicus. (Courtesy Dr. L. Edwards.)

Post-Inflammatory Hyperpigmentation

Two small gray/white plaques with a velvety surface on either side of the clitoris in HSIL (uVIN)

Extensive, pink, slightly eroded plaques of HSIL (uVIN) involving all of the left interlabial sulcus and the inner aspect of the labium minor, right side of the clitoris, and in the perianal area. This condition was very itchy.

Thick plaque of psoriasis with silver adherent scale.

Squamous Cell Carcinoma

Squamous Cell Carcinoma