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A Case for Diagnosis. Presented by Dr. H. E. Miller.
Mrs. H., aged 44, Mexican, has received antisyphilitic treatment at the clinic of the University of California since October 1932. The Kahn and the Kolmer reaction have remained 4 plus.She was first seen in the dermatologic clinic in June 1935, because of lesions on the dorsum of her hands and wrists. At first these were scaling lichenified areas which were moderately pruritic and showed some flat-topped papules suggestive of lichen planus. These lesions have become increasingly pigmented. Histologic examinations in September 1935 and April 1936 did not show the characteristics of lichen planus. There are lesions on the feet characteristic of dermatophytosis.The patient has mitral and aortic insufficiency and stenosis. She has received quinidine sulfate, digitalis, neoarsphenamine and bismuth. She has taken no arsenicals since December 1934.
Dr. A. E. Ingels: I saw an eruption similar to
Taussig LR, Graves JM. SAN FRANCISCO DERMATOLOGICAL SOCIETY. Arch Derm Syphilol. 1937;36(2):462–469. doi:10.1001/archderm.1937.01480020218029