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February 1938


Arch Derm Syphilol. 1938;37(2):314-322. doi:10.1001/archderm.1938.01480080147018

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A Case for Diagnosis. Presented by Dr. H. G. Miskjian, Cleveland.  J. K., a man aged 40, is well developed and well nourished and in apparently good health. He has been suffering from his present slightly pruriginous cutaneous disease for about twenty years. The onset apparently was gradual, and the eruption has never entirely disappeared. It does not appear to be subject to any seasonal variation or other influence. There has been no ingestion of drugs.Scattered over the body, including the palms and the soles and excepting the face, there is a nodular eruption of rather remarkable symmetry. The total number of lesions approximates a hundred. In some places there is definite herpetiform grouping, and the lesions are in various stages of development. The lesions begin as small sharply defined red areas, gradually become raised above the level of the skin, and develop into rather hemispherical nodules whose

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