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Sclerema Adultorum (Buschke). Presented by Dr. Donald M. Pillsbury.
W. H. S., a man, aged 26, presents paling of the skin over the thorax and a superficial violaceous circinate eruption on the back and lower portion of the thorax, which appeared recently. On palpation, marked induration is noted on the cheeks, on the posterior part of the neck and shoulders, on the upper portion of the abdominal wall and on the arms. Slight pitting is observed after firm pressure. The general examination revealed nothing of note except tonsillar tags which have become recurrently infected. The patient had scarlet fever beginning on Nov. 20, 1934, with severe prodromal symptoms and fever which persisted for one week. Marked generalized exfoliation of the skin occurred. A secondary rise in temperature was noted one week later and was accompanied by tonsillitis. Recovery was uneventful, and there were no immediate sequelae. The patient was
Garner VC, Gilman RL. PHILADELPHIA DERMATOLOGICAL SOCIETY. Arch Derm Syphilol. 1935;32(4):691–702. doi:10.1001/archderm.1935.01470040148027
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