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March 1939


Arch Derm Syphilol. 1939;39(3):545-557. doi:10.1001/archderm.1939.01480210160023

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Lymphadenosis Cutis Circumscripta. Presented by Dr. John B. Ludy.  M. F., a white woman aged 62, noticed in June 1937 a reddish pink area on her forehead, a little to the right of the midline. This gradually increased by the addition of similar lesions to the right and below. Trauma did not seem to play a part in its causation. There were slight itching and scanty scaliness. She now presents a patch of violaceous rounded moderately infiltrated papules and nodules with an ill defined tendency to grouping, practically confined to the right side of the forehead; many are telangiectatic. Histologic sections suggested cutaneous aleukemic lymphoid leukosis, but a monocytic type was by no means excluded. The Wassermann and the Kahn test were negative. A blood count showed 85 per cent hemoglobin, 4,680,000 red blood cells and 13,800 white blood cells, with 62 per cent polymorphonuclear leukocytes, 33 per cent lymphocytes,

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