Psoriasis can be present on the vulva. How does it present?

Psoriasis of the vulva presents as beefy red symmetrical plaques. The silvery scale associated with psoriatic lesions on other areas of the body is typically absent. A patient may have inverse psoriasis of the inguinal creases, referred to as inverse psoriasis. Skin lesion of psoriasis in this area may be more inflamed and have undergone maceration secondary to friction and moisture. Vulvar pruritus and burning may be prominent symptoms.