<unk>  with initial homogenization of collagen in the dermis. The disease often goes undiagnosed for several years, as it is sometimes not recognized and misdiagnosed as thrush or other problems and not correctly diagnosed until the patient is referred to a specialist when the problem does not clear up. A biopsy of the affected skin can be done to confirm diagnosis. When a biopsy is done, hyperkeratosis, atrophic epidermis,<unk>  of dermis and lymphocyte activity in dermis are histological findings associated with<unk> . The biopsies are also checked for signs of dysplasia. It has been noted that clinical diagnosis of BXO can be "almost unmistakable," though there are other dermatologic conditions such as lichen planus, localized scleroderma, leukoplakia, vitiligo, and the cutaneous rash of Lyme disease can have a similar appearance.
Lichen sclerosus
Vulvar cancer
Lichen myxedematosus
Lichen nitidus
Tinea imbricata
Diabetic dermadrome
Lichen striatus
Lichen planus