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Wise and Shelmire, 1 in 1928, reported on two cases of dermatitis lichenoides chronica atrophicans (Csillag's disease). They described the condition as being characterized by the formation of a varying number of white, shiny, indurated, round and oval, well-defined papules, appearing in closely agminated groups of individual lesions. The papules are in juxtaposition but do not coalesce; that is, they do not blend together to form large patches. The papules have no areolae; or there may be a faint, pink, peripheral zone, or, more frequently, a zone of hyperpigmentation. Scaling and Wickham's striae are absent; the buccal mucosa and the skin of the genitalia are not attacked. Some of the papules have shallow depressions, but the true dell formation seen in lichen planus is absent. The lesions do not itch. Punctate depressions, horny plugs, and crosshatching do not play a part in their evolution. After the full development of |
