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April 1932


Author Affiliations

Reporter Regular Meeting, Nov. 17, 1931; Presiding

Arch Derm Syphilol. 1932;25(4):764-767. doi:10.1001/archderm.1932.01450020786016

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A Case for Diagnosis. Presented by Dr.Loren W. Shaffer.

Mrs. L. W., aged 44, was a psychiatric patient and her history was not reliable. She presented numerous narrow white lines that stood out prominently on her dark skin. They were located particularly about the knees, wrists, neck and abdomen. Those about the knees and wrists were suggestive of scars following scratching, and were slightly thickened. The lines on the neck, however, were arranged in a mosaic pattern, so that a factitious origin was hardly conceivable. The slight thickening of some of the linear lesions did not suggest linea albicantes, and the absence of thickening in others did not favor a diagnosis of keloid.


Dr.Udo J. Wile: Most of the lesions could be self-produced.

Dr. R. C. Jamieson : The lesions on the wrists and hands look as though they had been produced by trauma. She is a psychopathic

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