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A Case for Diagnosis. Presented by Dr. Nomland by invitation.
A healthy woman, aged 25, was first seen five weeks before presentation. At that time she complained of an eruption of two months' duration, which began as a small red area near her nose and spread outward and downward as a red elevated line. At either side of her upper lip were red elevated lines similar to the ones now present. A lesion appeared on her chin four weeks ago as a red slightly elevated macule.The patient presented a round lesion about 5 cm. in diameter located beneath the chin. The center was clear; the periphery consisted of a red line about 2 mm. in diameter and was slightly elevated. There was no scaling. The patient's Wassermann reaction was negative. Five grains of phenolphthalein were given a week before presentation, but there was no exacerbation of the eruption the