]> 2026-07-31T10:04:31+00:00 WBR0504 0 en Lichen sclerosus Lichen simplex chronicus Lichen planus Vulvar cancer Vitiligo Pathology A 58-year-old woman presents to the dermatology clinic for vaginal irritation. She reports a long history of recurrent pruritus and vulvar tenderness. The patient explains that she has been to her gynecologist several times but the antifungal creams he has prescribed have not helped. She denies any vaginal bleeding or discharge. She reports having significant dyspareunia particularly in the past 2 months. Physical examination reveals a raised ivory-white plaque on the vulva with excoriations adjacent to and overlying the lesion. What is the most likely diagnosis in this patient? A Dermatology 2020-10-28T00:47:13Z 2459150.5327894 WBR0504