LICHEN PLANUS

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Abstract
We believe lichen planus to be a distinct disease, and we also believe it to be a constitutional disease with manifestations on the skin and mucous membranes. Lichen planus almost always occurs in its chronic forms, and as such its constitutional symptoms are frequently so slight as to escape detection. In the acute cases, however, the general constitutional symptoms become salient and form an important part of the clinical picture, of which the following is an example: HISTORY OF CASE Patient. —An obese, pulpy-looking Mexican woman, aged 40, and engaged in general housework, entered the University of California Hospital, July 8, 1908, with a very itchy tormenting eruption. She said that before its appearance she had worked very hard for some time and that for several months she had not menstruated. History. —Previous to this her menstruation had been normal, and she had enjoyed

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