ABSTRACT
Clinical aspect: It appears as single or multiple irregularly shaped and sharply marginated, fixed and not infiltrated, dark red, smooth and shiny plaques (Figure 8.1.1) that may sometimes show tiny brownish so-called “Cayenne pepper” spotting. Elective sites of involvement are the labia minora and majora, clitoris, fourchette, urethral meatus, and vaginal ostium. Multiple lesions are often bilateral and symmetrical and tend to join up progressively. Occasionally, ecchymotic, teleangiectatic, and purpuric patches or raised, granulomatous, nodular, or erosive plaques have been reported. This condition may be asymptomatic or be associated with pruritus, burning, pain, and dyspareunia. Sharply marginated, red and smooth plaques: plasma cell vulvitis. https://s3-euw1-ap-pe-df-pch-content-public-p.s3.eu-west-1.amazonaws.com/9780429160967/163b7f5e-cc4b-49c3-bdf2-114d4fa08aec/content/fig8_1_1.jpg" xmlns:xlink="https://www.w3.org/1999/xlink"/>
