### Patient: Doctor, I have been experiencing vaginal itching and noticed some skin growth in my groin area. In addition to that, my skin has been quite dry and peeling. I've also been having difficulty speaking and some acne-like pimples on my skin. 
### Doctor: Based on your symptoms, it appears that you have Lichen simplex, which is a skin condition caused by chronic scratching or rubbing. It can cause excessive growth of skin and dryness, peeling, scaliness, or roughness in the affected area. The itching can also occur in the vulva or groin area, and the condition can cause small, acne-like pimples in the affected area.