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A Case for Diagnosis (Verruca Plana; Lichen Planus?). Presented by Dr. Maurice J. Costello.
P. B., a woman aged 24, presents a generalized eruption, without lesions of the mucous membranes, which involves the sides of the neck, arms, forearms, the inner aspects of the thighs and anterior aspects of the legs. The eruption is of six months' duration. The individual lesions are sharply demarcated, flattened, slightly elevated, umbilicated violaceous and salmoncolored papules, from pinhead to matchhead size.
Therapy has consisted of subfractional doses of low voltage roentgen rays, intramuscular injections of bismuth subsalicylate and liver extract.
Dr. Leslie P. Barker: Clinically, this case suggests one of lichen planus, although some of the lesions on the leg have the characteristics of epidermodysplasia verruciformis.
Dr. J. Lowry Miller: I agree with the diagnosis of lichen planus.
Dr. Thomas N. Graham: If I had to decide between lichen planus
Montgomery RM, Miller JL. METROPOLITAN DERMATOLOGICAL SOCIETY. Arch Derm Syphilol. 1945;52(3):192–194. doi:https://doi.org/10.1001/archderm.1945.01510270050019
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