Lichen Simplex Chronicus (Vulva)
This photo shows prominent lichenification, some swelling, and hyperpigmentation of the vulva and adjacent skin. This may be due to a chronic dermatitis (eg, allergic contact dermatitis) or to a radiculopathic pruritus. In either case, chronic itch and scratching contribute to this reaction.
Photo courtesy of Karen McKoy, MD.
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