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June 1931


Arch Derm Syphilol. 1931;23(6):1147-1183. doi:10.1001/archderm.1931.03880240128017

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A Case for Diagnosis (Heberden's Nodes?). Presented by Dr. M. F. Engman and Dr. W. H. Mook, St. Louis.  M. B. D., a white woman, aged 49, stated that her present illness had begun suddenly eight years previously, with involvement of the joints of the fingers of the right hand. The other joints, large and small, were involved one after the other quite rapidly.The nodules had also first appeared eight years previously as a small lump in the skin of the right forearm near the elbow. From that time on numerous similar nodules, some quite large, appeared on the extremities. At times some of the nodules became inflamed, broke down, ulcerated and healed. They were present chiefly over the extremities near the large joints. There were a few over the occiput and few small ones in the margins of the gums. They were from 0.5 to 2 or 3

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