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February 1927


Arch Derm Syphilol. 1927;15(2):221-225. doi:10.1001/archderm.1927.02370260105011

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Granuloma Annulare. Presented by Dr. Wertheimer.  Mrs. E. S., aged 42, for the last eighteen months had had a penny-sized, white, glistening, ring-shaped patch, with a firm nodular border, over the bridge of the nose. The entire mass was transversed by dilated capillaries, and the lesion was painful to pressure. When first seen about nine months ago the lesion was bluish red and somewhat crescentic. It began as a freckle about two years ago and has gradually enlarged. Local application of acid failed to change the course of the lesion. About November, 1925, the lesion was thoroughly curetted under procaine hydrochloride, and massive doses of the roentgen ray were applied.

DISCUSSION  Dr. Beinhauer: I believe the lesion is a basal cell epithelioma because of the age of the patient, the location of the lesion and the character of its border, which is definitely nodular, each nodule appearing as a definite

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