78F, HTN ,non diabetic, Valvar Carcinoma (operated )in prediagnosed Valvular Lichen Simplex Atropicus(valvar sclerosus -VS).. C/o burning,irritation after urination..(micturation) Symptoms presented since 2013 Lical examination note of dermatologist in Sept 2013 is, scaling of vulvar skin with whitish pigmentation of near Labial skin.. She was diagnosed as Lichen simplex Atropicus of vulvar area in 2018...and treated with local emoluents and steroidal applications but with minimal and unsatisfactory relief in symptoms.

78F, HTN ,non diabetic, Valvar Carcinoma (operated )in prediagnosed Valvular Lichen Simplex Atropicus(valvar sclerosus -VS).. C/o burning,irritation after urination..(micturation) Symptoms presented since 2013 Lical examination note of dermatologist in Sept 2013 is, scaling of vulvar skin with whitish pigmentation of near Labial skin.. She was diagnosed as Lichen simplex Atropicus of vulvar area in 2018...and treated with local emoluents and steroidal applications but with minimal and unsatisfactory relief in symptoms.