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June 1929


Arch Derm Syphilol. 1929;19(6):983-989. doi:10.1001/archderm.1929.02380240118016

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A Case for Diagnosis. (Neurotic Excoriation.) Presented by Dr. Rosen.  M. L., aged 21, born in the United States, from the Post-Graduate Skin Clinic, said that three years previously a sore had appeared on the skin which disappeared in about two weeks after discharging a little pus. Nothing further was noticed until about four months prior to presentation; then the skin became red at the same site, and discharged a bloody serum. This discharge ceased in about three weeks, and the lesion was covered with a small scab. The discharge started again a few days prior to presentation.The patient had a punched out, deep ulcer, the size of a dime, on the left side of the chin. There was a thick bloody serum at the base.

DISCUSSION  Dr. Eller: I think that this man presents a dermatitis artefacta. It does not look like any definite entity. It has an

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