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[Lichen sclerosus at atrophicus. First observation on a boy's genitalia].

First report of a case of lichen sclerosus et atrophicus of the genitals in a twelve-year-old boy. The beginning of this disease at the time of the first growth of his pubic hairs coincides with the activity of the gonads, demonstrating apparently the influence of sexual hormones. The meaning of this factor is stressed by the fact that until now not a single case of lichen sclerosus et atrophicus at a boy's genitals has been published in the literature, in contrast to the relative frequency of this disease in girls. The chromosomal analysis of the buccal smear however revealed a chromatin negative result.

Balanitis↗

[Blepharoachalasis (Fuchs) and the Laffer-Ascher syndrome].

The case report of a 20 year old woman illustrates the course of blepharochalasis. This disease was defined as an entity by E. Fuchs in 1896. It is characterized by relapsong edematous tumefaction and increasing relaxation of the eye lids with atrophy of the skin, blepharophimosis and emergence of a pseudoepicanthus. Folding of the oral mucosa in the upper lip, the so-called double lip, euthyroid struma, and, in later stages, orbital fat hernia and prolapse of the lacrimal gland, are further facultative symptoms. Partially, late stages of the disease had been described as Ascher- or Laffer-Ascher-Syndrome. This syndrome is no separate entity.

Adult↗