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Scleroderma. Presented by Dr. D. M. Pillsbury.
An American girl, aged 5 years, presents a large patch of scleroderma involving the right flank, with extension over the anterior abdominal wall, the right buttock and the right side of the right foot and little toe. The lesions on the trunk and buttock are of the circumscribed type, and the lesion on the foot is linear. There is marked pigmentation at the periphery of the lesions on the body. The process has been extending for three years.On examination, the blood count, urine and blood calcium were normal.
Dr. F. D. Weidman: I thought that the condition was hemiatrophy. The skin is softer over the affected areas and is more pliable than normal skin. The fat is atrophic underneath, the skin is not bound to the underlying parts, and whereas it may be that there is fibrous tissue in the deeper
Gilman RL, Weidman FD. PHILADELPHIA DERMATOLOGICAL SOCIETY. Arch Derm Syphilol. 1933;28(5):753–760. doi:10.1001/archderm.1933.01460050147015