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Lichen Planus Hypertrophicus. Presented by Dr. Philips.
O. A. C., a man, aged 45, a merchant, presented a lesion which covered the greater portion of the glans penis. This lesion was somewhat indurated, especially at the edges, and was a bluish red. The margins of the lesion were distinct, and the surface was covered with dry, adherent scales, the only point of ulceration being around the meatus, which had in a great measure destroyed the frenum. The lesion had been present for nearly two years, during which time three courses of neo-arsphenamine and one of mercury had been administered without any appreciable effect on the course of the disease. On the left shin were three pea-sized lesions, bluish red, slightly elevated, not itchy. The mucous membranes were normal.Dr. Stokes, who saw the case in Philadelphia, made a clinical diagnosis of lichen planus, which was substantiated by Dr. Weidman, who