LAUSR

An 82-year-old Chinese woman presented to our multidisciplinary vulva clinic with a mildly itchy patch on her external genitalia of unknown duration. Notably, she was also undergoing vaginal laser rejuvenation at a private clinic. Cutaneous examination revealed a 2 3 2 cm well-demarcated, smooth, slightly hypopigmented-topinkish patch in the lower one-third of the left labium majus without any surface change or underlying induration (Fig 1). The rest of the cutaneous examination was normal. There was no regional lymphadenopathy. Per-speculum and per-vaginal examination were normal. A 4-mm skin punch biopsy was taken from the lesion (Figs 2 and 3, A and B).