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Lichen sclerosis Skin Findings

The primary lesion is an ivory white atrophic papule with a faint pink rim. On the skin, flat-topped, slightly raised papules coalesce into small oval plaques with a dull or glistening, smooth, white, atrophic, wrinkled surface. Focal hemorrhage may be seen among plaques. Keratotic follicular plugs appear on the surface which are described as dells.