The patient, of whose history the final chapter is given in this paper, presented a condition of extraordinary interest to the many physicians who saw him during the six and a half years of its course, and who made a great variety of diagnoses. He was shown to the Chicago Dermatological Society by Drs. Ormsby and Mitchell, November, 1919, as having a case of "hyperpigmentation," and histologic sections of the skin were demonstrated by Dr. R. M. Strong. The discussion1 centered about the diagnosis of acanthosis nigricans. It was supposed at this time that the patient had a duodenal ulcer because of attacks of indigestion and abdominal pain extending over a period of three years, and the possibility of an early acanthosis nigricans (pigmentation without thickening) associated with abdominal malignancy was suggested. In the discussion, Dr. U. J. Wile of Ann Arbor said he thought that, while no positive
WARTHIN AS, CRANE W, JACKSON JB. PIGMENTATION OF THE SKIN (ADDISON'S DISEASE) ASSOCIATED WITH LYMPHOSARCOMA INVOLVING PARTICULARLY THE RETROPERITONEAL LYMPH NODES OF THE SOLAR PLEXUS REGION: REPORT OF AN UNUSUAL CASE. Arch Derm Syphilol. 1924;10(2):139–162. doi:10.1001/archderm.1924.02360260002001
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