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Lichen Planus Hypertrophicus of the Legs, with Lupus Erythematosus of the Face. Presented by Dr. J. F. Madden, St. Paul.
Mrs. H. A., aged 48, first showed an eruption on the anterior surfaces of the legs in 1937, which appeared as flat, dark red to brown, itchy papules. They gradually enlarged until they are now elevated verrucous reddish brown nodules varying in size from that of a marble to that of a large walnut.In July 1939 the patient noticed small, scaly, slightly elevated, erythematous macules on the cheeks and on the bridge of the nose. They have increased in size and have become confluent. The lesions appear as irregular erythematous maculopapules with a tightly adherent scale. Some of the lesions have central atrophy and scarring.The Wassermann reaction of the blood was negative. A Mantoux test gave a negative result. Roentgenograms of the chest were normal.Histologic sections are
Rusten EM, Lynch FW. MINNESOTA DERMATOLOGICAL SOCIETY. Arch Derm Syphilol. 1940;41(3):619–625. doi:10.1001/archderm.1940.01490090171024
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