Family Nurse Practitioner Exam

What condition is described by irregularly shaped white skin lesions on the labia that are extremely itchy?

1. Chronic scabies infection

2. Lichen sclerosus

3. Chronic candidal vaginitis

4. A physiologic variant found in some older women

The correct answer is: Lichen sclerosus

Lichen sclerosus is characterized by irregularly shaped white lesions on the skin, often presenting on the labia or genital area, and is specifically known for being extremely itchy. This autoimmune condition leads to the atrophy of the skin, resulting in the distinctive white patches that can become increasingly uncomfortable and can also cause scarring if untreated. Patients may experience significant pruritus and irritation, which can significantly impact quality of life. The description of the lesions as white and irregularly shaped aligns perfectly with the clinical presentation of lichen sclerosus. Effective diagnosis and management are crucial to alleviate symptoms and prevent complications such as functional impairment or potential malignant transformation in chronic cases. Thus, lichen sclerosus is a fitting diagnosis given the described symptomatology.