Diagnosis: Lichen Planus Disseminatus (Follow-Up). Presented by Dr. Abraham J. Orfuss and (by invitation) Dr. R. Cassell.
A 41-year-old man is presented from the Manhattan Veterans' Administration Hospital with an eruption of 13 years' duration. The condition started while the patient was in military service in England and during hospitalization for duodenal ulcer. It is said to have begun as "flaky patches" on the chest, with eventual spread over the entire body.
At present the skin shows reticular areas of hyperpigmentation and depigmentation. The hair is gone on the brows, and the scalp shows discrete areas of alopecia, with some atrophy of the skin. The trunk and extremities are covered with small, discrete and confluent, oval and irregular papulosquamous lesions that are in places linearly arranged and are in some places burgundy in color. Excoriations and lichenification are seen. The palms, soles, and mucous membranes
Pascher F, Silver H. BRONX DERMATOLOGICAL SOCIETY. AMA Arch Derm. 1958;77(4):473–477. doi:10.1001/archderm.1958.01560040097019