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August 1950


Author Affiliations

President; Secretary Jan. 25, 1949

Arch Derm Syphilol. 1950;62(2):340-347. doi:10.1001/archderm.1950.01530150162021

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A Case for Diagnosis (Lichen Spinulosus?). Presented by Dr. George M. Lewis.

B. L., a woman aged 23, first became aware of her skin disorder two years ago while in Florida. A depigmented area, rather scaly and devoid of hair, appeared on one arm. Other scaly, slightly raised, erythematous, asymptomatic areas then occurred on the trunk and extremities over a period of months. It was then noticed that the erythematous, scaly areas no longer occurred but that there appeared simply depigmented patches that enlarged peripherally with concomitant hair loss. Recently the eruption has spread to the face. Dermographia has been present since childhood. For the past several years the patient has had allergic bronchitis.

She gives a history of varied treatment: the administration of vitamin A. 100,000 units daily orally for three to four months, roentgenotherapy (unknown number of exposures) and application of various unknown ointments and lotions. All

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