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Lichen Plano Pilaris. Presented by A. W. Young, Jr., MD.
Scalp, buccal surface, and gingiva.
The patient is a 55-year-old Negro widow. In May 1966 she noted a quarter sized, slightly erythematous area of alopecia beginning in the central portion of the scalp. The only symptoms were those of a slight burning sensation. Spread to the present limits has been gradual with constant hair loss. Recently, exudative erosions have appeared at the base of the great toe and lateral portion of the heel. Following topical care, they healed leaving residual scars. The oral lesions have been noticed more recently. They are asymptomatic. History concerning family illness, food, penicillin sensitivities and other medical disease has been considered noncontributory. The patient takes an occasional aspirin or Anacin, but no other medications.
Red blood cells (RBC), 3.8; hemoglobin (Hgb), 16/100 cc; white blood cells (WBC), 5,600/cu mm with
THE METROPOLITAN DERMATOLOGICAL SOCIETY OF NEW YORK. Arch Dermatol. 1968;97(6):733-734. doi:10.1001/archderm.1968.01610120123020