Two male patients aged in their 20s, who had no relationship with each other, separately presented with a three-month history of multiple asymptomatic papules on the genitalia.

A woman aged 64 years presented with a three-year history of vulvar itch and skin fragility with associated superficial dyspareunia.

A woman aged 40 years presented for a cervical screening test, during which whitish discolouration of the vulva, involving both labia majora and minora, and clitoris with distorted anatomy was noted.