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August 1925


Arch Derm Syphilol. 1925;12(2):295-299. doi:10.1001/archderm.1925.02370080141016

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A Case for Diagnosis. Presented by Dr. Ludy.  Miguel M., aged 35, a Filipino, had had an eruption for six months. There were diffuse brownish-red infiltrations of the forehead, also of the nose, lobes of the ears and promontories of the cheek. The palms were keratotic and covered by a fine scale. The legs were covered by the ichthyosiform scales which overlay superficial brown patches of infiltration. Neurologists had discovered thickened ulnar nerves. The patient had received twenty-five injections of arsphenamin and many injections of mercury during the past three years. Smears from the nose were negative for the lepra bacillus. The Wassermann test was negative. There were no infiltrations in the mouth or about the uvula. The involvement of the lower extremities was more marked than of the arms.

DISCUSSION  Dr. Weidman said that in his opinion the case was one of Hansen's disease, and the only condition that

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