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Leprosy (Anesthetic Type?). Presented by Dr. J. M. Schildkraut, Trenton, N. J.
E. P., a man aged 35, presents a rounded, flat, nonelevated dusky red plaque the size of a dollar on the right temple; he has a similar plaque on the left forearm and another under the chin. There are, in addition, dusky red infiltrations of the first and third fingers of the left hand with wasting of the interosseus muscles and flexion of the fingers (claw hand). There is a loss of sensation in the fingers, and sensation is diminished in the other plaques. The left ulnar nerve is thickened. There is a large scaly eczematoid patch on the external surface of the left leg. The scrotum is erythematous.
Dr. John H. Stokes: I think that the diagnosis of leprosy is not established as yet. It is evident that this man has a unilateral nerve lesion affecting
Garner VC, Smith HJ. PHILADELPHIA DERMATOLOGICAL SOCIETY. Arch Derm Syphilol. 1936;33(4):750–764. doi:10.1001/archderm.1936.01470100147020
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