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April 1928


Arch Derm Syphilol. 1928;17(4):548-558. doi:10.1001/archderm.1928.02380100102011

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Dermatitis Factitia. Presented by Dr. Howard Fox.  M. K., a stenographer, aged 17, said that the eruption first appeared on her left elbow about seven weeks before presentation. It had gradually increased in extent and severity. About the left elbow, almost entirely surrounding the arm, was a diffuse erythematous area with a moderate number of yellowish-green scars. In addition, there were a few smaller patches bordering the area and a small, single, somewhat linear-shaped red spot on the right arm. The borders were sharply demarcated, and the smaller patches were of irregular shape. The appearance was that of a burn caused by a chemical caustic. The patient also showed various stigmas of hysteria. A motive for malingering was not apparent, and the patient denied self-infliction of the injury.

Lupus Erythematosus Disseminatus. Presented by Dr. Howard Fox.  T. M., aged 20, single, born in Italy, factory worker, came to the United States four years before presentation. She was seen by a colleague in April of this year, at which time there were butterfly-shaped lesions on the forehead and hands ; they were erythematous, well defined, slightly scaly and had been present for five months. A diagnosis of lupus erythematosus was made. A routine Wassermann test was made and reported four plus by the New Jersey State Department of Health. She was then given two injections of arsphenamine and two of mercury, and developed an eruption which her physician considered

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