A 55-year-old postmenopausal woman presents to the GP with vulval itching and soreness. On examination, there are well-demarcated, erythematous, viola...

Question

A 55-year-old postmenopausal woman presents to the GP with vulval itching and soreness. On examination, there are well-demarcated, erythematous, violaceous erosions at the vaginal introitus with a white lacy (Wickham striae) pattern at the margins. What is the most likely diagnosis?

Accepted Answer

Vulval lichen planus

Answer

Lichen sclerosus

Answer

Vulval candidiasis

Answer

Vulval psoriasis

Answer

Vulval intraepithelial neoplasia

uk-drcog MCQ (SBA): Vulval Lichen Planus

A 55-year-old postmenopausal woman presents to the GP with vulval itching and soreness. On examination, there are well-demarcated, erythematous, violaceous erosions at the vaginal introitus with a white lacy (Wickham striae) pattern at the margins. What is the most likely diagnosis?