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Poikiloderma Vasculare Atrophicans. Presented by Dr. S. S. Greenbaum.
M. S., a white man, aged 58, was admitted to the Mount Sinai Hospital on Oct. 12, 1932, with a chief complaint of redness and slight itching of the skin. The condition had existed intermittently for twenty-five years, starting on the chest as a macular lesion, 6 cm. in diameter, containing red spots and whitish areas. This lesion disappeared and recurred several times, and then similar areas appeared in other parts of the body, avoiding the face, forearms, buttocks and perineum. There were no mucosal lesions. These lesions remained quite constant, occasionally showing an inflammatory areola. The history was otherwise negative except for hay fever in 1912 and a "nervous breakdown" in 1923.
The patient had a blood pressure of 180 systolic and 110 diastolic, diseased teeth, apical fibrosis, enlargement of the heart to the left, with a systolic apical murmur
Gilman RL, Weidman FD. ATLANTIC DERMATOLOGICAL CONFERENCE. Arch Derm Syphilol. 1933;27(4):705–721. doi:10.1001/archderm.1933.01450040712019
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