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Clinical image shows an atrophic, indurated, and hypopigmented plaque on left submammary region. Histologically, extragenital lichen sclerosus is characterized by hyperkeratosis (+), epidermal atrophy with flattening of rete ridges (*), edema in the superficial dermis (#), and homogenized collagen in the dermis with subtotal loss of skin adnexal structures (**).
