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March 14, 2012, Vol 307, No. 10 >

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Letters | March 14, 2012

Reticulated White Lip

Robert H. Dailey, MD
JAMA. 2012;307(10):1025-1026. doi:10.1001/jama.2012.283.
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To the Editor: In the JAMA Clinical Challenge describing the acute onset of reticulated white striae on the lower lip of a 62-year-old woman determined to have a lichenoid drug eruption, the authors suggested the next step was to obtain a skin biopsy and discontinue lisinopril.1 I submit that the correct answer to this exercise is an option that was not provided: discontinue lisinopril. Do nothing else, except this instruction to the patient: “return if the rash worsens or does not resolve in 2 months. See your internist for substitution of another drug for lisinopril.”

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March 14, 2007
Chlorhexidine Gluconate for Prevention of Nosocomial Infection in Cardiac Surgery—Reply
JAMA. 2007;297(10):1059-1060. doi:10.1001/jama.297.10.1060.
March 14, 2012
Reticulated White Lip—Reply
Jeffrey B. Shackelton, MD; Joseph C. English, MD
JAMA. 2012;307(10):1025-1026. doi:10.1001/jama.2012.284.
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