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November 1944


Author Affiliations

Oakland, Calif.

Arch Derm Syphilol. 1944;50(5):330. doi:10.1001/archderm.1944.01510170044014

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To the Editor:—In a recent article "Bullous Lichen Sclerosus et Atrophicus" (Arch. Dermat. & Syph.49:423 [June] 1944), Dr. C. Russell Anderson discussed rather extensively my article "Localized Scleroderma with Bullae" (Arch. Dermat. & Syph.43:361 [Feb.] 1941) and came to the conclusion that my case was one of bullous lichen sclerosus et atrophicus rather than scleroderma with bullae.

Unfortunately, Dr. Anderson had not had the opportunity of seeing my patient. She had been twice presented before the San Francisco Dermatological Society, and the diagnosis had been accepted by the majority of the members present. The main question in the members' minds was not in regard to the diagnosis of scleroderma but rather in regard to the mechanism of productions of the bullae—whether they were factitious or were due to friction or to drugs. Dr. Howard Morrow saw her in consultation and agreed

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