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April 1931


Arch Derm Syphilol. 1931;23(4):804-815. doi:10.1001/archderm.1931.03880220210015

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A Case for Diagnosis (Lymphoblastoma or Seborrheic Dermatitis?). Presented by Dr. H. M. Hedge.  A laborer, aged 50, stated that in August, 1929, he developed two abscesses in the peri-anal region which ruptured and drained. He had been using waste as toilet paper. After drainage of the abscesses, the gluteal region healed, but an oozing, itching, burning eruption then developed on the anterior surface of both thighs, which soon spread to the anterior surface of both legs. This eruption had persisted for fourteen months, being alternately better and worse. There was no history of previous disease of the skin.The blood count showed: erythrocytes, 5,200,000; leukocytes, 9,200; hemoglobin, 90 per cent. The urine and the Wassermann reaction were negative.

DISCUSSION  Dr. Paul A. O'Leary: I believe that this patient has a lymphoblastoma, probably of the mycosis fungoides type. The case requires further study and observation to confirm this impression.Dr.

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