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This can be caused by hormonal changes, sun damage, or even "melanosis" (often associated with smoking or environmental irritants)
The majority, approximately 88 % of genital nevi, are either compound or intradermal [71] Differential Diagnosis Clinically, vulvar melanocytic nevi can sometimes be difficult to differentiate from seborrheic keratosis, warts, pigmented vulvar intraepithelial neoplasia (VIN), or angiokeratomas
