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Case for Diagnosis: Psoriasis; Chronic Radiodermatitis? Angiomas of Amputation Stump vs. Kaposi's Hemorrhagic Sarcoma. Presented by Dr. Eugene M. Farber and Dr. James B. Peterson (by invitation).
A 67-year-old man has had psoriasis for 43 years. About 33 years ago he received x-ray treatment to the limbs. Radiodermatitis subsequently developed on the lower extremities. In 1950, a squamous-cell carcinoma of the right shin developed for which a right supracondylar amputation and radical inguinal lymph node dissection was done. The nodes showed no evidence of tumor.
Since 1951 numerous red, infected, ulcerated lesions have developed on both lower extremities. One was removed from the left knee in 1951 and four from the left leg in 1955. Many recurrent lesions have developed on the stump along the incision line. An excision and graft were done in this area in 1955, in 1956, and again in 1957. Lesions have
Allington RR, Behling RT, Joseph HL. SAN FRANCISCO DERMATOLOGICAL SOCIETY. AMA Arch Derm. 1959;80(4):504–506. doi:10.1001/archderm.1959.01560220114026