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October 1937

A REMARKABLE LICHEN PLANUS LESION OF THE TONGUE

Author Affiliations

SAN FRANCISCO

Arch Derm Syphilol. 1937;36(4):833-835. doi:10.1001/archderm.1937.01480040150010
Abstract

REPORT OF CASE  A woman 76 years of age but enjoying good general health consulted me in May 1936 because of an eruption of papules on the backs of the hands. They were few, large, hemispherical and itchy. There were no typical lichen papules among them. I made a tentative diagnosis of lichen ruber hypertrophicus (Hebermann).1 As time passed, the lesions yielded to what Lestikow has called "lichen ointment."2There were no lesions in the mouth.On September 5 the patient came in much alarmed. A piece of lettuce had stuck on the back of her tongue, and on looking in the mirror she saw that it had lodged behind a large white prominence. I was as surprised as the patient. I saw a large oblong fluffy white mass situated far back exactly in the median line of the tongue. It resembled a pledget of cotton but

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