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Lipodystrophy in a Nevus. Presented by Dr. George C. Andrews.
S. S., a 20 month old Jewish boy, has had a "birthmark" on the right shoulder and chest since birth.
In the nevus the subcutaneous tissue seems entirely absent. Through the thin atrophic skin over the nevus can be seen all the underlying blood vessels, giving the center of the lesion a bluish red hue. The child is slightly overweight but has the normal distribution of fat, except in the areas of the nevus.
Treatment has been conservative on account of the peculiar atrophic features of the nevus. In July 1943 two areas, one at the tip of the shoulder, the other on the upper medial part of the chest, were treated with a 75 mg. flat radium element applicator with a 2 mm. brass filter in contact with the skin for three and one-half hours. In October
Cannon AB, Andrews GC. NEW YORK DERMATOLOGICAL SOCIETY. Arch Derm Syphilol. 1944;50(4):283–287. doi:10.1001/archderm.1944.01510160055023