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Folliculitis Decalvans and Lichen Spinulosus. Presented by Dr. Walzer.
F. P., a married woman, aged 35, had had nine children, with no stillbirths or abortions, and had never had any previous illness. Her present condition had begun on the body about five months before presentation and had spread ever since. Itching was not pronounced. The lesions of the scalp appeared about three weeks before presentation.When presented, almost the entire trunk and parts of the thighs, were affected. The primary lesion was a tiny, follicular papule, surmounted with a fine spine. Some lesions were of the color of the skin, while some were pale red. When the hand was rubbed over the body, a grater-like feeling was obtained. The palms showed slight occupational hyperkeratosis. The mouth was normal.The scalp, especially at the top and front, showed a number of scars, and scattered between them were many follicular pustules, some