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Morphea. Presented by Dr. Adolph Rostenberg.
M. E., a woman aged 31, states that the present cutaneous condition began four years ago, soon after the birth of her first child, which was difficult and protracted. The menstrual periods have since been irregular. The patient complains of pain in the lower portion of the abdomen, in the region of the ovaries.On the upper part of the thighs are about a dozen irregular oval lesions, some isolated and some fused, forming irregular plaques. The skin is white or ivory colored, markedly wrinkled and atrophic but hard, parchment-like to the touch. Each lesion is surrounded by a violaceous border. Examination of the blood and urine gave negative results. The Wassermann reaction of the blood was negative.
Dr. Wilbert Sachs: I cannot make a definite diagnosis. If the atrophic type of scleroderma can develop in a relatively short time I suggest
Gross P, Silver H. BRONX DERMATOLOGICAL SOCIETY. Arch Derm Syphilol. 1937;36(3):666–674. doi:10.1001/archderm.1937.01480030193024