I used this as a mother and child health handbook case. I didn't carry it around very often. As you can see in the photos, there's what looks like glue? stains. Also, there's a little bit of dirt on the bottom of the outside. I think it's relatively clean, but please refrain from purchasing if you are concerned. White synthetic leather pouch with a ribbon, with multiple pockets inside. - Color: Ivory - Design: With ribbon - Internal structure: Multiple pockets - Material: Synthetic leather Thank you for looking.