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May 1930


Arch Derm Syphilol. 1930;21(5):881-889. doi:10.1001/archderm.1930.01440110173016

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A Case for Diagnosis. Presented by Dr. Fraser.  A young woman, from the Cornell Clinic, presented ulcerating lesions on the legs, arms and forearms, some of which had healed spontaneously, leaving keloidal scars. The duration of the condition was sixteen months. There was no history of taking drugs, and the patient said that there had been no injury. Wassermann tests had been made before the patient came to the clinic and were negative. The psychiatric department reported that there were no mental or behavior disorders and nothing to suggest that the condition was a dermatitis factitia. The patient had had one injection of arsphenamine and one of bismuth. The possibility of tuberculosis cutis had been considered. Biopsy was refused.


Dr. Maloney:  I am more in favor of the diagnosis of dermatitis factitia than of tuberculosis cutis.

Dr. Whitehouse:  I am in favor of the diagnosis of blastomycosis. I think

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