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Bullous Lichen Sclerosus et Atrophicus vs Scleroderma. Presented by Charles P. DeFeo, MD.
A 68-year-old white woman has suffered from an eruption since 1950. At that time she noticed an eruption on her abdomen, on the under surface of her breast, and in the inguinocrural areas which caused her some difficulty in that there were numerous bullae and some itching. She was originally seen by Dr. Costello and myself in 1955 at which time she had an eroded area over most of the abdomen with secondary bacterial infection.When these lesions resolved during hospitalization it was noted that she had a marked atrophic epidermis with sclerotic changes in these underlying structures.There were numerous clusters of thick superficial telangiectases across her abdomen, inframammary areas, and inguinocrural areas. On the area in the middle of the back there was classical lichen sclerosus et atrophicus with follicular plugging and all
NEW YORK DERMATOLOGICAL SOCIETY. Arch Dermatol. 1967;95(2):238–240. doi:10.1001/archderm.1967.01600320094019