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Acute Scleroderma. Presented by Dr. Torrey.
A woman, aged 31, presented indurated lesions suggestive of scleroderma on the arms, face, neck and legs. These began recently following an illness with influenzal symptoms and fever. At the age of 15, she had a similar attack which likewise began with influenzal symptoms but which cleared up suddenly after lasting two or three weeks.
Dr. Taussig: In discussing this patient with Dr. Miller, he suggested that the diagnosis of scleroderma be held in abeyance on account of the absence of the changes ordinarily seen in true scleroderma.Dr. Templeton: Could this be a case of dermatomyositis?Dr. Way: Dr. Templeton's suggested diagnosis of dermatomyositis is an excellent one. We should hardly expect scleroderma to have cleared up so rapidly before. While I have never seen dermatomyositis so widespread as it is here, certain aspects of the case favor that diagnosis. A biopsy
Chipman E, Templeton HJ. SAN FRANCISCO DERMATOLOGICAL SOCIETY. Arch Derm Syphilol. 1929;20(3):410–415. doi:10.1001/archderm.1929.01440030136017
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