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June 1938


Arch Derm Syphilol. 1938;37(6):1059-1070. doi:10.1001/archderm.1938.01480120125022

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Granuloma Annulare. Presented by Dr. Saul S. Robinson.  Mrs. R. W., a white woman aged 49, states that an eruption began on the dorsa of the hands about sixteen months ago as annular raised papular lesions varying in size from that of a dime to that of a palm and having clear centers. The wrists and the nose are now becoming involved. Examination of the gastric contents after administration of an alcohol test meal gave strongly positive indications of blood and showed no lactic acid or Boas-Oppler bacilli. There was no free hydrochloric acid but a combined acidity of 15 degrees. The patient's blood count was normal, and serologic tests for syphilis gave negative results. Treatment with unfiltered roentgen rays (five ¼ skin unit doses) has produced no improvement.

DISCUSSION  Dr. H. C. L. Lindsay: I believe that the diagnosis of granuloma annulare is correct. One should keep in

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