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I have no fear of dwelling too much upon specialism because I find in numerous cases that the visible cutaneous affection is but symptomatic of some morbid functional or organic condition of the digestive organs, the blood, the kidneys, the genital apparatus or the nervous system. Consequently, in order to cure the disease of the skin I must apply the same diagnostic and therapeutic principles by which every general practitioner is guided. Dermatology is linked in the closest bonds to general medicine. This is a fact upon which I constantly insist.
The first patient I introduce to you is a young farmer, 28 years of age, who entered this hospital a few days ago on account of an extensive and disfiguring eruption upon the face. The disease began fourteen years ago on the bridge of his nose and, as far as he can remember, in the form of
SHOEMAKER JV. LUPUS VULGARIS—ACUTE ECZEMA— CHRONIC ECZEMA—PSORIASIS. JAMA. 1898;XXX(9):462–465. doi:10.1001/jama.1898.72440610010001b
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