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Hypertrophic lichen planus: erythema and edema of inner vulva transitioning to grey-pink lichenification of bilateral labia majora (A), scale crust accompanied by marked irregular acanthosis and dense infiltrate (B), H&E ×40, apoptotic bodies and squamatization predominantly involving the tops of papillary processes (C), H&E ×100, with minimal basilar abnormality at the tips of rete ridges (D), H&E ×100.
