Differential diagnosis of white patches and plaques on the vulva

Common	Less common	Rare
Lichen sclerosus Lichen simplex (moist) Squamous intraepithelial lesions: Low-grade squamous intraepithelial lesions High-grade squamous intraepithelial lesions Differentiated vulvar intraepithelial neoplasia Postinflammatory hypopigmentation Vitiligo	Lichen planus Candidiasis Squamous cell carcinoma	White sponge nevus Hailey-Hailey disease Extramammary Paget disease Verrucous carcinoma

The prevalence categories refer to vulvar manifestations of the listed diseases. The relative frequency of each may vary based on the patient population, geography, and type of clinical practice (eg, gynecology, dermatology, or internal medicine).

Graphic 95983 Version 9.0

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Differential diagnosis of white patches and plaques on the vulva