Case for Diagnosis: Lichen Planus Atrophicus vs. Lichen Sclerosis et Atrophicus vs. Porokeratosis (Mibelli) in Zosteriform Distribution. Presented by Dr. Maurice J. Costello.
A 20-year-old American girl was first seen on May 3, 1945, when she was 6 years old, and she was presented before this Society on May 22 of that year with the diagnosis of lichen sclerosis et atrophicus or lichen planus atrophicus in zosteriform distribution.At that time, she presented a generalized eruption which was somewhat pruritic. While the patient was being examined, her mother drew attention to an independent eruption extending from the upper part of the left thigh to the lower third of the leg, involving the anterior and lateral aspects in zosteriform, nevoid distribution. The lesions varied in size from match-head to halfdime size, with a sharply circumscribed outline. Some were dull red and others had hyperpigmented, slightly depressed centers, which were studded with
NEW YORK DERMATOLOGICAL SOCIETY. AMA Arch Derm. 1960;81(6):1042–1048. doi:10.1001/archderm.1960.03730060158038
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