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Lymphoma. Presented by Dr. Holden C. McCraney and Dr. Betsy B. Brennan (by invitation).
This 68-year-old white woman has had dryness, scaling, and mild erythema of the skin for about 17 years. She states that her "skin trouble" began as patches of slight scaling and erythema on the trunk and upper extremities and gradually spread to involve the entire body with the exception of the lower legs. Itching was only slight and intermittent.
About three months ago she developed a round, raised lesion at the base of the left thumb, which has a raised smooth border and a granulomatous center.
On examination the skin of the trunk and extremities shows mild dry scaling and mild erythema and has an atrophic appearance. The lower legs are not involved, though the patient has severe varicosities and stasis pigmentation. On the left chest is a patch of smooth shiny
Brunsting LA, Bluefarb SM. CHICAGO DERMATOLOGICAL SOCIETY. AMA Arch Derm. 1957;75(6):882–891. doi:10.1001/archderm.1957.01550180096027