Differential Diagnosis for Hardened Labia
- Single most likely diagnosis
- Lichen sclerosus: This condition is characterized by thinning and hardening of the skin, often affecting the genital and anal areas. It is a common cause of hardened labia and typically presents with itching, pain, and architectural changes to the vulva.
- Other Likely diagnoses
- Lichen planus: An inflammatory condition that can affect the skin and mucous membranes, leading to hardened and scarred labia. It often presents with itching and pain.
- Vulvar dermatitis: An inflammatory reaction of the skin that can cause hardened labia, often due to irritants or allergens. Symptoms include itching, burning, and redness.
- Do Not Miss (ddxs that may not be likely, but would be deadly if missed.)
- Vulvar cancer: Although rare, it is crucial to rule out cancer as a cause of hardened labia. Symptoms can include a lump or ulcer on the vulva, itching, and pain.
- Paget's disease of the vulva: A rare form of skin cancer that can present with hardened labia, often accompanied by itching, burning, and a visible lesion.
- Rare diagnoses
- Scleroderma: A chronic autoimmune disease that can cause hardening of the skin, including the labia. It is characterized by thickening and hardening of the skin, and can also affect internal organs.
- Morphea: A rare skin condition characterized by hardened and discolored patches of skin, which can affect the labia. It is often asymptomatic but can cause cosmetic concerns.