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Article
October 1925

PITTSBURGH DERMATOLOGICAL SOCIETY

Arch Derm Syphilol. 1925;12(4):569-573. doi:10.1001/archderm.1925.02370100108014

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Abstract

Lichen Planus Sclerosus et Atrophicus. Presented by Drs. Guy and Jacob.  A woman, aged 47, presented a palm-sized patch on each shoulder, the edges of which were slightly raised and infiltrated, the surface in places being wrinkled and in others slightly verrucose. The central area was in part clear and in part involved by lentil-sized white papules in annular arrangement. Satellite white papules were noted, some of which showed central black, horny plugs, while others showed atrophic changes. Itching of moderate grade and intermittent character was noted subjectively.

DISCUSSION  Dr. Phillips questioned the diagnosis of lichen planus sclerosus et atrophicus, and thought the condition looked like atrophy.Dr. Jacob said that he saw the case on a dark day and thought as Dr. Phillips, but in good light the condition looked like lichen planus sclerosus at atrophicus.Dr. Guy said that the case presented a typical example of the diagnosis

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