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February 1971


Author Affiliations

Department of Dermatology Medical Faculty, Belgrade, Yugoslavia

Arch Dermatol. 1971;103(2):226-228. doi:10.1001/archderm.1971.04000140112025

To the Editor.—  I read with great interest the well-documented communication entitled "Annular Atrophic Plaques of the Face."1The absence of final agreement among the discussants as to the diagnosis, as well as Dr. Weisman's remark in the discussion that "we may confidently expect to solve the mystery to be dispelled as more cases are recognized and studied" prompts me to describe two patients with identical lesions. In addition, both patients exhibited lesions which point to the diagnosis of lichen sclerosus.

Report of Cases 

Case 1.—  A 53-year-old laborer consulted us in 1965, because of skin changes present for five years. No previous medical advice was asked by the patient.His familial and medical history were not contributory. On objective examination, an incompletely oval, narrow, irregular, sclerotic, ivory-colored band was present on the right cheek. The skin within it was apparently unchanged. The skin of this region did not