Severely itchy lichen sclerosus in a figure-eight pattern around the vulva and perianal area with loss of clitoris and labia minora. Swollen, irritated hemorrhoidal tags are seen. Typical white, shiny lichen sclerosus changes are visible with purpura and erosions from scratching.
Reproduced with permission from: F William Danby, MD, FRCPC, FAAD, and Lynne J Margesson, MD.