Clitoris, lichen sclerosus [LMP12056]

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Image Details
Diagnostic Modality: 
Whole Slide Image
Disease Category: 
Cellular Responses to Stress and Toxic Insults: Adaptation, Injury, and Death
Diagnosis: 
Lichen sclerosus
Species: 
Human
Organ System: 
Female Genital Tract
Gender: 
Female
Age: 
46 years
Diagnosis Code: 
ICD-10: N90.4
Slide Contributor Information
Nanji, S., Chang, M.

Keywords

vulva, vulvar, atrophic

Clinical History

Punch biopsy; clitoral region.

Clinical Discussion

Chronic inflammatory injury to the vulva often presents as a white scaly plaque-like lesion. In this case, the features are of scarring and atrophy. Lichen sclerosus (characterized by atrophy and dense dermal collagen) can occur side-by-side with lichen simplex chronicus (characterized by hyperkeratosis, dermal thickening, and dermal inflammation). This case has a mixture of features.