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October 1931


Arch Derm Syphilol. 1931;24(4):712-717. doi:10.1001/archderm.1931.01450010722022

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LocalizedNeurofibromatosis. Presented by Dr.John A. Gammel.

T. N., a man, aged 60, had observed the development of bluish nodules on the right side of the abdomen during the last year. Except for an occasional stinging sensation, there was no discomfort. All of the lesions were limited to the segment between the lumbar spinal column and the midline of the epigastrium. There were twenty-five or thirty soft, more or less elevated, pea-sized, noninflammatory, purplish nodules, most of which were on the abdomen, above and to the right of the umbilicus. There were also a few coin-sized, bluish nodules on the right flank and a light brown, palm-sized patch and a pendulous fibroma on the left flank. Histologic observations showed an extensive proliferation of fibrous connective tissue, with numerous, small, thick-walled blood vessels. Degenerative changes were found in the axis of nerves.


Dr. H. N. Cole : The distribution

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