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To the Editor:—
In the May, 1961, issue of the Archives of Dermatology, Dr. Richard A. Oberfield presents an article on "Lichen Sclerosus et Atrophicus and Kraurosis Vulvae." He states that patients with lichen sclerosus et atrophicus, including five male patients with involvement limited to the penis, were studied and followed, and that none developed carcinoma. Dr. Oberfield states, furthermore, that lichen sclerosus et atrophicus is not a precancerous lesion, and carcinoma does not develop.I would like to bring to Dr. Oberfield's attention the presentations before the San Francisco Dermatologic Society of a man with lichen sclerosus et atrophicus (George, W. M.: Lichen Sclerosus et Atrophicus, A.M.A. Arch. Derm. 77:138, 1958) and (George, W. M.: Lichen Sclerosus et Atrophicus, A.M.A. Arch. Derm. 79:370, 1959). Aside from classic and bullous lesions of lichen sclerosus et atrophicus of the trunk and extremities, the patient had clinical and microscopically verified lichen sclerosus