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Article
May 1924

NEW YORK ACADEMY OF MEDICINE, SECTION ON DERMATOLOGY AND SYPHILOLOGY

Arch Derm Syphilol. 1924;9(5):646-655. doi:10.1001/archderm.1924.02360230108016

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Abstract

LICHEN PLANUS ATROPHICUS. Presented by Dr. Spiegel.  D. I., a woman, aged 52, a widow, born in Russia, a dressmaker, said that the lesion had been present for a year and a half. She presented over the left clavicular region an irregularly shaped patch about 6 cm. in length, and 2.5 cm. in width. The patch was glistening white, slightly depressed, with a shining smooth surface studded with numerous dark comedolike horny plugs. There was a distinct rose colored areola surrounding this patch. There were numerous discrete lichen planus papules around the large patch, some of which had the beginning of a comedolike depression in the center of the papule.

DISCUSSION  Dr. Pollitzer said he thought it was a typical case of the disease which had been described as atrophic lichen planus. The resemblance of these patches to scleroderma was striking, the only point of difference being that the doughy

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