Vulval Dermatitis

Below you will find a selection of clinical images portraying Vulval Dermatitis

1

Lichenified Eczema / Lichen Simplex Chronicus

Lichenification (thickening) of the labia majora with excoriations (scratch marks). Lichenification occurs as a result of repeated scratching and is a sign of chronic (long term) eczema.

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4

Eczema (Dermatitis) with Lichenification

Lichenification (thickening) of the left crural fold. Lichenification and excoriations (scratch marks) in interlabial sulci and left labium minus.
Fissure or deep excoriation right of perineum.

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7

Vulval Fissure

Linear split/fissure on the right fourchette/perineum.

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2

Lichenified Eczema / Lichen Simplex Chronicus

Lichenification (thickening) of the medial labia minora. The pale grey colouration is often seen in lichenifiction in darker skin and should not be confused with the pallor of lichen sclerosus.

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5

Perianal Eczema (Dermatitis)

Ill defined erythema with mild lichenification (thickening) in the perianal area. Fissure visible at fourchette.

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8

Lichenified Eczema / Lichen Simplex Chronicus

Lichenification (thickening) of the left labium majus with excoriations (scratch marks).

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10

Perianal Fissuring

Perianal erythema with fissures visible at 11 o'clock, 2 o'clock and 6 o'clock.

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3

Lichenified Eczema / Lichen Simplex Chronicus

Lichenification (thickening) of the labia majora, more marked on the left.
Excoriation (scratch) seen on lower left labium majus.

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6

Irritant Contact Dermatitis from an Emollient Containing Antiseptic

Marked erythema over medial buttocks with superficial desquamation. Contact dermatitis can be irritant or allergic.

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9

Lichen Simplex Chronicus

Close up of lichenified (thickened) skin over the labia majora. Lichen simplex chronicus develops as a consequence of repeated scratching. Eczema (dermatitis) is usually the underlying cause.

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