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Acrocyanosis. Endocrinopathy. Presented by Dr. S. S. Greenbaum.
A. K., a woman aged 47, shows reticulated and diffuse violaceous erythema involving both breasts, the lower extremities and, to a less extent, the upper extremities; there are two large keloids over the sternum and back. The patient relates the appearance of the condition to a period following the birth of her last child, fifteen years ago. She has otherwise enjoyed good health all her life. From 1925 to 1933 her weight increased from 165 to 255 pounds (74.9 to 115.7 Kg.). At present, after dieting, she weighs 215 pounds (97.6 Kg.). Laboratory tests gave the following results: On Feb. 22, 1935, the basal metabolic rate was plus 22; on April 23 it was plus 26. The test for dextrose tolerance made on April 9 gave the following values for sugar: blood, 131 mg. per hundred cubic centimeters, and urine, 0; blood,
Garner VC, Gilman RL. PHILADELPHIA DERMATOLOGICAL SOCIETY. Arch Derm Syphilol. 1935;32(5):815–831. doi:10.1001/archderm.1935.01470050111021
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