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September 1928


Arch Derm Syphilol. 1928;18(3):444-472. doi:10.1001/archderm.1928.02380150110015

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A Case for Diagnosis. Presented by Dr. Weiss.  A white woman, aged 56, presented an extensive eruption over the face, arms and trunk, which had been present since she was 24 years of age. It first appeared on the face and slowly spread to the chest and the abdomen. Frequent urination had been noted since early childhood. She had been treated for mild diabetes by dietary measures only; insulin had never been given.The primary lesion was a translucent maculopapule from 0.5 to 1 cm. in diameter. The lesions, on involution, left brownish pigmented areas which were so numerous that they had run together to form large patches. In addition to the lesions, numerous dilated vessels were observed in the skin, chiefly on the chest and back with atrophic areas here and there with slight scaling. These observations were made in 1925.At the time of presentation the patient showed

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