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October 27, 1945

MEDICINE AND THE WAR

JAMA. 1945;129(9):621-626. doi:10.1001/jama.1945.02860430037014

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Abstract

ARMY 

ATYPICAL LICHEN PLANUS AMONG PACIFIC TROOPS  The Office of the Surgeon General recently revealed that army doctors in the Southwest Pacific have found fewer than 3 cases per thousand men of a new noncontagious skin disease, which has been named atypical lichen planus and is known to the soldier as one of the varieties of "jungle rot."Atypical lichen planus apparently becomes active partly because of an occasional unusual sensitivity of a few individuals to atabrine, the drug which was used so successfully in combating malaria among troops in the tropics, army medical reports indicate. However, army doctors emphasize that the vast majority of persons who take atabrine regularly are not affected.First reports describing this disease were submitted by two army dermatologists in the Southwest Pacific: Lieut. Col. Charles Schmitt of Pittsburgh and Major Thomas Nisbet of Pasadena, Calif. Their studies convinced them that atabrine was the

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