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A Case for Diagnosis. Presented by Dr. Irving R. Bancroft and Dr. Katherine MacEachern (by invitation).
E. C., an American woman aged 63, came to the hospital this morning and has not been studied completely. She was in this hospital a year ago, with a condition diagnosed as lymphatic leukemia. She subsequently had high voltage roentgen therapy, the amounts and dates of which are not known. Her present condition has existed about three weeks.
Dr. Udo J. Wile, Ann Arbor, Mich. (by invitation): In view of the toxic condition, I am impressed with the possibility of hemorrhagic smallpox. The confluent hemorrhagic lesions, not only on the arm but in the mouth and on the forehead and both palms, are suggestive. Would it not be well to find out whether this patient has had any contact with smallpox and whether she has been vaccinated?Dr. William H. Goeckerman: I think
Frost K, Caskey CR. LOS ANGELES AND SAN FRANCISCO DERMATOLOGICAL SOCIETIES. Arch Derm Syphilol. 1939;39(2):358–362. doi:10.1001/archderm.1939.01480200165019