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Article
August 10, 1929

THE DIAGNOSIS OF SELF-INFLICTED LESIONS OF THE SKINA CONTRIBUTION TO PHYSICAL DIAGNOSIS IN DERMATOLOGY

Author Affiliations

PHILADELPHIA

From the Department of Dermatology and Syphilology of the University of Pennsylvania School of Medicine and the Syphilis Clinic of the University Hospital, John H. Stokes, M.D., director.

JAMA. 1929;93(6):438-443. doi:10.1001/jama.1929.02710060014004
Abstract

Two years ago there came under observation in the department of dermatology a patient, the text for this homily on self-inflicted cutaneous lesions, who had been under observation from time to time by able medical men for a period of years without adequate appreciation of the real nature of her trouble. She was presented before the third year medical class in dermatology, and an unaided diagnosis of self-inflicted skin injuries was made by the students as a result of certain fundamental criteria for the recognition of this picture which had been previously impressed on them in their course. That inexperienced medical students could be taught by a comparatively simple written rubric to recognize what their far more learned predecessors had missed, and that the literature over a period of ten years has contained comparatively few references to this group of cutaneous lesions, seem to justify a summary of the facts

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