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Genital lichen planus is relatively uncommon but can affect both the vagina vulva. The lesions appear as white reticulated papules and plaques and erosions may occur. Patient may complain of itching, vaginal bleeding, dyspareunia and postcoital bleeding. A biopsy is needed to make a diagnosis. It maybe misdiagnosed as lichen sclerosis, pemphigus vulgaris, bullous and cicatricial pemphigoid and erythema multiforme. Topical steroids provide symptomatic relief.
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