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Article
December 1935

NEW YORK ACADEMY OF MEDICINE, SECTION OF DERMATOLOGY AND SYPHILIS

Author Affiliations

Secretary Feb. 5, 1935; Chairman

Arch Derm Syphilol. 1935;32(6):961-973. doi:10.1001/archderm.1935.01470060126015

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Abstract

A Case for Diagnosis (Purpura Annularis Telangiectodes?). Presented by Dr. Andrew H. Montgomery.

P. M., a Belgian woman aged 46, who has lived in the United States for the past ten years, is presented from the New York Polyclinic Hospital because of an eruption on the malleolar regions of both ankles of thirty years' duration. The eruption, which appeared on the medial side of the right ankle below the malleolus after the patient scratched her ankle on a nail, lasted for ten years. From 1914 on the eruption spread to the regions now affected, beginning as small erythematous areas with a burning sensation. At times it was ulcerated. There were remissions and exacerbations.

At present in all the malleolar regions there are irregular, scarred, erythematous and pigmented areas with some telangiectasia. There are some induration and scaling in the more active lesions. There have been scattered soft yellowish-brown nodules.

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