Derm Dx: Discolored patches on the torso of a woman with vulvar lichen sclerosus

A 62-year-old woman is referred to the office with biopsy-confirmed lichen sclerosus of the vulvar region that had been present for 18 months. Currently, she is being treated with topical clobetasol ointment, but she continues to experience localized pain and burning. Examination of the genital area reveals classic white plaques. Discolored patches with central telangiectasias are also noted on her ...