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IdiopathicMacularAtrophy. Presented by Dr. H. N. Klein, St. Paul.
The patient, a man, first had the condition in June, 1931, when it began with the appearance of white spots about the size of a dime on the anterior side of the neck, in the midline, just above the sternoclavicular articulation. Subsequently many other spots appeared, varying in size from that of a split pea to that of a quarter. There was no itching, but all the lesions were distinctly atrophic. (A biopsy by Dr. John F. Madden confirmed the diagnosis.)
Dr.HamiltonMontgomery, Rochester: I believe that the diagnosis should be lichen sclerosus et atrophicus of Hallopeau. There are numerous keratotic plugs in the center of the lesions.
Dr. L. H. Winer, Minneapolis : From the biopsy alone, one could believe the condition to be a healing, idiopathic atrophy. One can see there is atrophy clinically, as well
Turnacliff DD, Klein HN. MINNESOTA DERMATOLOGICAL SOCIETY. Arch Derm Syphilol. 1933;27(2):353–359. doi:10.1001/archderm.1933.01450040358020
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