Vulval disorders GTG

1. 32 year old presented with vulval itching and soreness. It’s aggravated during her periods. It’s relieved during summer
On examination
Pitted nails noted
Skin lesions on scratching shows minute Haemorrhages
Thick red plaques with silvery  scales seen over vulva
Same lesions seen under breast

Choose correct diagnosis

2. 32 year old  Penny, presents with vulval itching and soreness. She’s noticed these symptoms with stress when her PHD exams were nearing
On examination
Polygonal purple topped lesions present over hand
Wickham striae noted in buccal mucosa as well as well
On vulval examination
Plain topped polygonal lesions seen.
Look at the image enclosed

3. You are seeing 56 year old  postmenopusal Amy, in clinic, who has been referred for uncontrollable vulval itch & soreness which is worse at night.

She has visited her GP and he has given her some lubricants which were of no benefit.
On examination – thinning of skin, labial adhesions seen,
Skin looks like cigarette paper
Vulval  biopsy showed thinned epidermis with sub-epidermal hyalinization and a deeper inflammatory infiltrate.
Please  look at the image