HypertrophicLichenPlanus with VesicleFormation. Presented by Dr.John E. Lane.
E. W. L., a man, aged 37, presented hypertrophic and coalescent patches of lichen planus on the dorsal surface of both hands. A few typical lesions were appearing on various parts of the body. He had a few vesicular lesions, and there was one about the size of a large pea on the back of the left hand. When the patient was first seen on Feb. 13, 1931, the lesions were confined to the hands and the glans.
Dr. H. H. Whitehouse : I accept the diagnosis. There is no question about the bullous accompaniment, but it has nothing to do with lichen planus. I have seen patches of hypertrophic lichen planus like this clear up with treatment by Unna's ointment : mercuric chloride, 2 grains (0.13 Gm.) ; phenol, 10 grains (0.65 Gm.) ; diachylum ointment, 1 ounce (30 cc.).