fig1

Figure 1. Patients with vulvar lichen sclerosus. (A) Shows a white atrophic patch involving the vulva and perianal skin in a figure-of-eight distribution with epidermal atrophy, agglutination of the bilateral labia minora, and superficial erosions present at the introitus. (B) Shows erythematous to hypopigmented vulvar patches with agglutination. (C) Shows atrophic white and focal erythematous patches without erosion or purpura. (D) Shows a white atrophic patch with minimal erythema in the vulva, agglutination with loss of the labia minora, and scarring of the clitoral hood. (E) Shows confluent erythematous patches involving the labia and the inguinal folds with whitish atrophic areas, minor fissures, and cracks. (F) Shows hypopigmentation in a figure-of-eight distribution involving the vulva and perianal area with scattered areas of hemorrhage. (By permission of Mayo Foundation for Medical Education and Research. All rights reserved.).