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April 1924


Arch Derm Syphilol. 1924;9(4):494-504. doi:10.1001/archderm.1924.02360220074008

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SCLERODERMA (OR KELOIDS?). Presented by Dr. Lane.  Miss H. H., aged 23, had noticed the beginning of her present trouble about three years ago. On the left side of the neck there were two parallel, elevated, hard bands about 3% inches (8.8 cm.) long and three-quarters inch (1.9 cm.) wide. The thickness of these bands was apparently about one-half inch (1.2 cm.). The color was slightly waxy, and a few very small vessels could be seen on the surface. Above these bands, extending to just below and back of the ear, was an irregular spot, smooth, not elevated, dead white and hard. This spot had appeared within the past few months. When the patient was first seen the impression had been that the two parallel lesions were keloids. With the appearance of the later lesion it seemed probable that the whole process was scleroderma. The parallel lesions presented an unusual

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