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A Case for Diagnosis.—Presented by Lyon Rowe, MD, and Elizabeth Hutchinson, MD.
A 51-year-old woman, born in Panama, developed erythematous plaques over the face and posterior part of her neck four years ago. There was collapse of the nasal cartilage. A biopsy of the skin showed a "granuloma" and special stains and biopsy cultures were negative. A second strength purified protein derivative (PPD) skin test was positive. Other skin tests, x-ray films of the chest and small bones of hands and feet, and results from laboratory tests were not remarkable except for a suggestion of pernicious anemia.In January 1971 the patient was hospitalized for severe anemia and secondary congestive heart failure. The skin lesions had lost some erythema and had become hyperpigmented, the borders were elevated, and the centers were hypopigmented. The nasal cartilage was destroyed. X-ray films of the nasal bones showed changes secondary to inflam
McCleary JE. THE LOS ANGELES DERMATOLOGICAL SOCIETY. Arch Dermatol. 1972;105(2):284-287. doi:10.1001/archderm.1972.01620050084019