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November 1951


Author Affiliations


From the Division of Dermatology, University of Minnesota (Henry E. Michelson, M.D., Director) and the Department of Dermatology, Minneapolis General Hospital (Carl W. Laymon, M.D., Director).

AMA Arch Derm Syphilol. 1951;64(5):620-627. doi:10.1001/archderm.1951.01570110090013

FOR MANY years confusion has existed concerning the relationship of lichen sclerosus et atrophicus to balanitis xerotica obliterans, kraurosis penis and vulvae, atrophic lichen planus, and guttate morphea. The purpose of this paper is to review the clinical and histologic features of these diseases and to discuss their relationship.

LICHEN SCLEROSUS ET ATROPHICUS  The paper by Montgomery and Hill1 was a great help in clearing the confusion which existed in the terminology applied to lichen sclerosus et atrophicus. In reviewing the literature they found that names which had been applied to this disease included lichen planus sclerosus et atrophicus, lichen planus morphoeicus, white spot disease, Unna's card-like scleroderma, lichen albus of von Zumbusch, and chronic atrophic lichenoid dermatitis of Csillag. Apparently most dermatologists now feel that these terms should be abandoned, especially white spot disease which has been used loosely to include both lichen sclerosus and guttate morphea.The

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