Question 7 of 10

A 70-year-old woman reports vulvar itching for the past 9 months. She has tried good hygiene techniques, including keeping the area clean and dry and only using cotton underwear, without success. On physical exam, you notice red epithelium covered with a thin white coating, resembling cupcake frosting. Which of the following is the most likely diagnosis?

A Lichen planus
BLichen sclerosus
CLichen simplex chronicus
D Paget disease of the vulva

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