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A Case for Diagnosis (Lichen Planus Erythematosus of Crocker?). Presented by Dr. Frank C. Combes.
A. R., a 43 year old Italian housewife, is presented for Dr. De Oreo from the department of dermatology of Bellevue Hospital, complaining of a generalized pruritic eruption of five years' duration. At first the lesions were papular and limited to the wrists, neck and ankles, but gradually the process has spread, so that now there are large erythematous plaques involving the face, neck, trunk and extremities. During this period the patient has enjoyed good health. Her appetite is good, and there has been no loss of weight. A history of drug ingestion cannot be elicited.Examination reveals a generalized symmetric dermatosis on the face, neck, chest, trunk and extremities. On the buccal mucosa there are numerous grayish white puncta and streaks and, in addition, a patch of lacelike striations. There are two distinct types
Andrews GC, Sharlit H. NEW YORK ACADEMY OF MEDICINE, SECTION OF DERMATOLOGY AND SYPHILIS. Arch Derm Syphilol. 1941;44(1):107–118. doi:10.1001/archderm.1941.01500010110022
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