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NEW YORK ACADEMY OF MEDICINE, DEPARTMENT OF DERMATOLOGY AND SYPHILOLOGY
Oct 7, 1969Wilbur B. Hurlbut, MD, Editor
Systemic Scleroderma (Progressive Systemic Sclerosis), Chemical Diabetes Mellitus, Psoriasis. Presented by Lilianna S. Sauter, MD.
The patient is a 61-year-old white man who developed Raynaud's phenomenon over 30 years ago. Several years later, he noticed tightness of the skin of his fingers with occasional occurrence of ulcers. Until 1962 his general health was good. Then he noticed marked fatigability, developed persistent cough while working in a garage, and lost 15.9 kg (35 lb). In 1967, he was hospitalized at Metropolitan Hospital because of herpes zoster. A diagnosis of systemic scleroderma was made, the skin, esophagus, and lungs involved. He developed psoriasis about 20 years ago.The patient is malnourished and shows 1 + pitting edema of both ankles. The skin of cheeks and forehead is indurated, with some loss of lines. The skin
Society Transactions. Arch Dermatol. 1971;103(6):682-689. doi:10.1001/archderm.1971.04000180108020