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April 1972

Eosinophilic Infiltration in Lichen Sclerosus et Atrophicus

Author Affiliations

Kyoto, Japan

Arch Dermatol. 1972;105(4):606-607. doi:10.1001/archderm.1972.01620070076028

To the Editor.—  I would like to report an observation, that to my knowledge has not been reported, that of eosinophils in the cellular infiltrate of lichen sclerosus et atrophicus (LSA), which occurred in an aged man, accompanied by variegated clinical features.

Report of a Case  An 88-year-old Japanese man had gradually developed a band-like sclerosed area around the abdomen over the past three years and recently he could hardly distend his abdomen because of this. One month prior to the initial visit, the patient began to have severe pruritus on the back and upper extremities. His past history was noncontributory except for prostatectomy performed 13 years previously.On examination three lesions with different features were observed. (1) There was a well-defined, brownish, depressed, morphea-like band around the abdomen. (2) Silvery-white scaly patches of varying size were scattered on the upper part of the back, proximal portions of the extremities,