Extragenital lichen sclerosus is classically characterized by flat-topped white polygonal papules coalescing into potentially sclerotic plaques. Early in the disease a pink, red, or violaceous border, depending on the color depth of the skin tone, can be noted. Inactive lichen sclerosus shows white wrinkled papules and plaques with a rim of post-inflammatory hyperpigmentation that can range from dark red to brown. Often depigmentation can be observed in darker skin tones.

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