Abstract

Haynes and Hellier1recently reported a case of lichen planus associated with lichen planus hypertrophicus, lichen planus acuminatus (spinulosus) and lichen nitidus. Histologic examination of lesions of the last two diseases showed an infiltration characteristic of the last condition, consisting of epithelioid cells, lymphocytes and giant cells. The authors stated that the observation of these various associated lesions suggested une parente etroite between lichen nitidus and lichen planus. We decry with Haynes2the lack of agreement on the terminology of the variants of lichen planus. He called the acuminate lesion lichen verrucosus, but the latter never shows the histologic3picture of lichen planus. Cases of associated lichen planus and lichen nitidus had been previously reported by Civatte,4Rabut and Guex5and Barber.6Juliusberg7discussed cases of a similar association. Pels8published the report of an interesting case of miliary lichen

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