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A Case for Diagnosis. Presented by Dr. Becker.
A woman, aged 22, three years before presentation, first noticed a lesion just below the left eyebrow. The lesion was about 0.5 cm. in diameter, pinkish, scaly and nonpruritic. A year and a half later she noticed similar but much smaller lesions on the eyelids, which were more inflamed and scaly at some times than at others. Local applications had been used, without benefit. When the patient was presented, there was a yellowish red-brown lesion, 0.5 cm. in diameter just below the left eyebrow, and several lesions 1 mm. in diameter on the left upper eyelid. They were slightly scaly and noninfiltrated. Glass pressure revealed questionable apple jelly nodules in only the smaller lesions on the eyelid.Histologic examination revealed that the stratum corneum was thickened, especially about the follicular orifices. The stratum granulosum and germinativum were normal. The superficial dermis was
Senear FE. CHICAGO DERMATOLOGICAL SOCIETY. Arch Derm Syphilol. 1929;20(1):118–123. doi:10.1001/archderm.1929.01440010126020
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