Lichen Sclerosus et Atrophicus. Presented by Charles F. Post, M.D. (for E. William Jewell, M.D.)
A 7½-year-old white girl has an eruption which began in the first year of life. The eruption has been constantly present and has been periodically itchy.
At the time of the first visit, patient presented a typical eruption of lichen sclerosus et atrophicus involving the labia and perianal skin. The lesions were confluent, white, flat papules, many with obvious central delling. No similar lesions were noted elsewhere.
An ointment containing hydrocortisone, vitamin A, and estrogens (Es-A-Cort) was prescribed. When seen one month later, there was a remarkable improvement and at the time only faint traces of the eruption were visible. Since the disease has been present for six years without clearing, it is felt that this response can safely be attributed to the medications used.
Dr. Young: The diagnosis is apparent—lichen
Spoor HJ, Meyers JH. METROPOLITAN DERMATOLOGICAL SOCIETY. AMA Arch Derm. 1960;82(1):128–130. doi:10.1001/archderm.1960.01580010134031
Customize your JAMA Network experience by selecting one or more topics from the list below.
Create a personal account or sign in to: