TY  - JOUR
T1  - CHicago dermatological society
AU  - Fretzin DF
Y1  - 1975/04/01
N1  - 10.1001/archderm.1975.01630160123027
JO  - Archives of Dermatology
SP  - 533
EP  - 535
VL  - 111
IS  - 4
N2  - Atypical Hypertrophic Lichen Planus. Presented by Sidney Barsky, MD, George Engel, MD. 
    This 52-year-old man stated that his eruption began shortly after an auto accident four years previously. It involved his entire body and was diagnosed by several dermatologists as lichen planus. Within a year, most of the eruption cleared, leaving only small lesions on his forearms and larger lesions on both legs. They continued to enlarge and are neither pruritic nor painful. They occasionally become infected and drain purulent material.Cultures for typical and atypical mycobacteria and fungi were negative. Staphylococcus epidermidis was the only organism recovered. The complete blood cell count, serologic studies, and chest x-ray film were unremarkable. A skin biopsy specimen revealed hyperkeratosis, hypergranulosis, acanthosis, and spotty parakeratosis. The dermal papillae and the adjacent collagen showed edema and chronic inflammatory cell infiltrations, which were somewhat granulomatous in areas.Discussion 
    Dr. Peyton Weary: There is a possibility
SN  - 0003-987X
M3  - doi: 10.1001/archderm.1975.01630160123027
UR  - http://dx.doi.org/10.1001/archderm.1975.01630160123027
ER  -