PMC7529173_01
Right labia majora showing large hyperpigmented plaque with multiple dilated follicular openings
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F1
On examination, a single, large, well- defined hyperpigmented plaque with multiple follicular openings covering almost the whole of mucosal aspect of the right labia majora was seen [Figure 1].
(a) (x10) Epidermis shows follicular plugging with Wedge- shaped hypergranulosis and basal cell degeneration. Dense band- like infiltrate visible at dermoepidermal junction. (b) (x40) Highlighted area from Figure 2a shows pigment incontinence and presence of melanophages in the dermis
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F2
Histopathological findings revealed follicular plugging with Wedge shaped hypergranulosis, basal cell degeneration, dense band- like infiltrate, pigment incontinence, and presence of melanophages, which were suggestive of hypertrophic LP of vulva [Figure 2a and b].