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A Case for Diagnosis. Presented by Dr. Klauder and Dr. Dengler.A man, aged 35, presented an extensive ulceration on the upper part of the left side of the chest and the axilla, of two years' duration. He had lived in Panama for thirteen years prior to 1923. The patient had electrical burns on the arms, but the ulceration had started in the axilla, not at the site of the scars resulting from the burns. He had had a severe infection of the little finger prior to the onset of the ulceration. His general health was good, and the physical examination was essentially negative. There had been several negative Wassermann reactions. The histologic section presented showed a tuberculoid picture with foreign body giant cells (Weidman). For treatment he had received neo-arsphenamine, calcium by mouth and parathyroid gland. Local therapy had consisted of a variety of antiseptic dressings, ultraviolet
Biddle AP. AMERICAN DERMATOLOGICAL ASSOCIATION. Arch Derm Syphilol. 1926;14(5):597–623. doi:10.1001/archderm.1926.02370230102014
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