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Lichen sclerosus in a 4-year-old child

Lichen sclerosus in a 4-year-old child
Note the subepithelial hemorrhages located proximally at the edge of the right labia minora and the V-shaped bilateral distribution of hypopigmentation lateral to the labia minora extending to the posterior fourchette. The hymen is crescentic in configuration with smooth, even borders.
Courtesy of Celeste Wilson, MD.
Graphic 55275 Version 2.0