Generalized Lichen Planus. Presented by Dr. Isadore Rosen.
This Jewish woman, aged 68, has a generalized eruption involving the face, scalp, trunk and extremities, which was of four months' duration at the time of admission to the hospital early in September, 1933. The face presents an erythroderma-like eruption, whereas the lesions on the extremities are flattened bluish papules which are close together and give the skin a lichenified appearance. The scalp presents a moderate amount of scaling. On the wrists and on the buccal mucosae there are typical lichen planus papules. There are also some lesions on the tongue and lips. The axillae, submammary areas, middle of the back, palms, groins, lower two thirds of the legs and feet are free from lesions. The nails are not involved. There is no history of previous illness. The condition began in 1933, as erythema about the neck with intense itching. It spread