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Chronic rubbing, itching, and/or irritation of the vulva can sometimes result in lichen simplex chronicus, a skin condition causing inflamed, burning, and/or thickened vulvar skin. In many instances of lichen simplex chronicus, the patient may present with pink or purple tinged skin, leathery texture, swelling, and severe itching. Drs. Kimble can diagnose the issue in-office during a simple physical exam. In some instances, a biopsy is recommended. Treatment often includes a combination of lifestyle shifts, topical creams, in-office injections, or genitourinary energy based treatments.