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February 1934


Arch Derm Syphilol. 1934;29(2):319-325. doi:10.1001/archderm.1934.01460080149016

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Psoriasis (?), Dermatophytosis (?), Keratosis Blennorrhagica (?). Presented by Dr. Bernard Appel.  A white man, aged 56, a druggist, had an eruption on the extremities and trunk for twelve weeks prior to presentation. It started as scaly, itchy lesions on the soles and spread slowly to involve the feet, trunk, axillae and hands. The patient also had arthritis at the time of presentation.Examination revealed sharply outlined, scaly, hyperkeratotic lesions involving almost the entire soles. Over the hands (on the backs only) were large, rupial lesions, the size of a coin, some of which were heaped up about one third of an inch. Over the front and back of the trunk were lesions almost classically psoriasiform, sharply outlined, annular and scaly.The Wassermann test and urinalysis gave negative results. The blood smear showed moderate secondary anemia, with 4,000 white blood cells; otherwise it was normal.The most probable diagnoses are given in inverse

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