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March 1964


Arch Dermatol. 1964;89(3):484-485. doi:10.1001/archderm.1964.01590270170042

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Lichen Sclerosus et Atrophicus. Presented by Dr. Orlando Canizares. 

History.—  The patient was a 62-year-old Negro woman. The present condition began approximately five years ago. The first lesions developed on the flexor aspect of the right wrist. Later more lesions developed, and the left wrist also became affected. Lesions are not pruritic and only bother the patient when they get irritated with detergents and soaps.There are several plaques on the flexor aspect of the upper extremities. The lesions are from smallpea to silver-dollar size, and they have a tendency to run together forming large patches. The individual lesions are papules or elevated plaques, hard, infiltrated, highly pigmented, and with some punctiform depressions. On one of the large lesions there are some areas of atrophy associated with the irregular sclerosis. The flexor aspect of the wrist and forearm are involved. There are no mouth lesions.

Microscopic Examination.—  Throughout the upper

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