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August 1935


Arch Derm Syphilol. 1935;32(2):318-322. doi:10.1001/archderm.1935.01470020140023

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Lichen Planus and Lichen Spinulosus Following Antisyphilitic Treatment. Presented by Dr. Irving R. Bancroft.

Mr. L., aged 26 years, single, had a syphilitic chancre four months ago. No secondary eruption occurred. Treatment has consisted of eight injections of neoarsphenamine and nine injections of a bismuth preparation. The present eruption began three months ago. At first there were red, macular, oval lesions which in places were deeply pigmented and have remained so. At the same time the follicles became hypertrophied, and in places the top of the follicle is covered with a short keratinlike point which, when the hand is rubbed over the skin, produces a feeling like that of a file. This patient is presented because of the sharp keratin-like projections which are often seen in cases of arsenical toxemia.


Dr. Kendal Frost: I am inclined to think that if any characteristic change occurs in the

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