Lichen sclerosus in a 10-year-old prepubertal girl

Figure-of-eight pattern of vulvar and perianal hypopigmentation in a 10-year-old prepubertal girl with lichen sclerosus.

Reproduced with permission from: Paradise JE. Vaginal bleeding. In: Textbook of Pediatric Emergency Medicine, 6th ed, Fleisher GF, Ludwig S (Eds), Lippincott Williams & Wilkins, Philadelphia 2010. Copyright © 2010 Lippincott Williams & Wilkins. www.lww.com.

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