NEW YORK ACADEMY OF MEDICINE, SECTION OF DERMATOLOGY AND SYPHILIS

A Case for Diagnosis (Lichen Planus?). Presented by Dr. Gross.  Mrs. R. F., aged 40, born in Russia, was first admitted to the Vanderbilt Clinic on July 16, 1928, with a history of an itching eruption on the extremities, on the vulva and in the axillae of six weeks' duration. The eruption had first appeared on the hands and gradually spread to the forearms, the axillae and the lower part of the legs.The patient's general health had been good except for hysterectomy and bilateral oophorectomy which had been performed two years previously for fibrosis and chronic salpingitis.On July 16, examination of the extensor surfaces of both hands and flexor surfaces of the wrists showed pale erythematous papules which tended to become confluent thus forming shiny, slightly elevated lesions. In the axillae were circumscribed, erythematous, macerated patches with numerous small lesions extending to the side of the chest. On