Lichen Sclerosus

Below you will find a selection of clinical images portraying Lichen Sclerosus

1

Extragenital Lichen Sclerosus

Axillary region showing a wide area of confluent porcelain-white papules and plaques with small ecchymoses (bruising) at 5 o'clock.

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4

Periclitoral Lichen Sclerosus

Pallor both sides anterior labia. Fusion anterior interlabial folds. Ulceration under clitoris.

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7

Lichen Sclerosus on Pigmented Skin

Pallor on vulva extending onto perineum. Loss of labia minora. Obscured clitoris, thickened white hood. Increased pigmentation around introitus.

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10

Increased Pigmentation and Raised Patch in Lichen Sclerosus

Loss of vulval structures. Very pigmented area near clitoris looks raised. Raised area left posterior labia. Scarred split perineal and perianal skin.

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13

Introital Stenosis in Lichen Sclerosus

Loss of vulval structures with fusion.
Introitus fused.

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2

Lichen Sclerosus Anterior Vulva

Pale clitoris.
Fusion over hood with slight pallor.

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5

Vulval Lichen Sclerosus

Pallor both labia minora. Obscured clitoris. Thickened clitoral hood. Loss of labial structures. Flattened interlabial sulci.

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8

Lichen Sclerosus with Ulceration

Thickened swollen clitoral hood. Obscured clitoris. Intense pallor on left labum minus with associated patch of pigmentation. Pallor and scarring extending to perineum and inner buttocks. Multiple ulcers including posterior fourchette.

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11

Widespread Ecchymoses in Lichen Sclerosus

Labia minora conserved. Multiple ecchymoses on labia minora and labia majora. Swollen red right labum minus.

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14

Histology

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3

Lichen Sclerosus Clitoral Hood

Fusion right lower clitoris. Thickened scarred pallor under hood.

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6

Scarred Vulval Lichen Sclerosus

Resorbed labia minora. Fusion across interlabial sulci. Obscured clitoris with fusion and thickening of hood. Pallor and areas of pigmentation. Scarring and one abrasion on left side. Reduced introitus.

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9

Lichen Sclerosus with Major Vulval Destruction

Clitoris exposed by retraction of clitoral hood. Widespread pallor. Resorbed labia minora and flattened interlabial sulci. Increased pigmentation around introitus. Loss of elasticity.

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12

Lichen Sclerosus in Pigmented Skin

Loss of vulval structures.
Reduced introitus.

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