Biopsy — A vulvar punch biopsy is taken to demonstrate atypical cell histology
Histopathology — Epidermis is thinned, areas of hyperkeratosis may be observed. Early lesions may show irregular epidermal acanthosis
Clinical judgment should guide the diagnosis and treatment of<unk>  when biopsy results are not specific
Lichen sclerosus
Candidiasis
Bullosis diabeticorum
Lichen planus
Psoriasis
Tinea capitis
Dermatitis
Cat-scratch disease