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A Case for Diagnosis. Presented by Charles E. Schoff.
W. T., aged 41, a Greek, presents lesions on the lower parts of the legs between the knees and ankles, involving the entire cutaneous surface. The lesions are small, shotlike, about the size of a no. 8 bird shot, discrete, slightly depressed at the summit and interfollicularly placed. None were found to be pierced by a hair. They are dirty brownish, with no erythema and slight itching. There are no other similar lesions on the body. The lesions are of one year's duration. There is no adenopathy. The white blood cells, on April 19, 1932, numbered 16,000. The differential count showed: lymphocytes, 15 per cent; cosinophils, 1 per cent; mononuclears, 10 per cent, and polymorphonuclears, 74 per cent.
The past history revealed that a diagnosis of "scrofula" was made in Athens in 1924; the patient responded to roentgen treatment. The Wassermann
Graves JM, Schoff CE. SAN FRANCISCO DERMATOLOGICAL ASSOCIATION. Arch Derm Syphilol. 1933;27(1):162–165. doi:10.1001/archderm.1933.01450040165018
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