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September 1938


Arch Derm Syphilol. 1938;38(3):482-486. doi:10.1001/archderm.1938.01480150156023

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A Case for Diagnosis (Healed Scleroderma?). Presented by Dr. Saul S. Robinson.  P. S., a white American woman aged 30, has a fairly well defined brownish pigmented atrophic plaque with islands of depigmentation on the anterior surface of her left thigh. There are similar but smaller areas on the back of the left thigh. Serologic tests were negative. Previous treatment has consisted of a few roentgen treatments and administration of thyroid. No improvement has been noted.

DISCUSSION  Dr. Samuel Ayres Jr.: I cannot see any evidence of scleroderma. The patient states that there has been no infiltration. I should consider the condition idiopathic atrophy.Dr. Kendal Frost: Not only was the skin involved but there was definite muscular atrophy. The mechanism here is similar to that seen in hemiatrophy of the face. The injury was probably succeeded by scleroderma and then atrophy. The microscopic picture included a peculiar ballooning of

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