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April 1968


Arch Dermatol. 1968;97(4):490-494. doi:10.1001/archderm.1968.01610100130020

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Elastosis Perforans Serpiginosa With a History of Familial Involvement. Presented by Maximilian E. Obermayer, MD, and by invitation Robert F. Shea, MD.  A Caucasian woman of 37 consulted a dermatologist in Texas in September 1956 because of "sores" on the nape of her neck which had appeared following a recent trip to Mexico City and refused to heal. After a few months of ineffective local therapy including x-rays the lesions were excised. Prompt recurrence at the margins of the scar followed (Fig 1). In October 1957 she was presented at the combined clinical meeting of the Texas and the Southwestern Dermatological Societies. Atypical sarcoid or granuloma annulare were the favored diagnoses. In 1958 another dermatologist in Texas made a tentative diagnosis of blastomycosis-like pyoderma. When the patient's husband's business took them to Australia in 1959, a local dermatologist diagnosed porokeratosis. She was next hospitalized in 1960 at the University Clinic

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