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June 1939


Arch Derm Syphilol. 1939;39(6):1096-1103. doi:10.1001/archderm.1939.01480240144021

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A Case for Diagnosis (Iododerma Due to Iodized Salt?). Presented by Dr. H. C. L. Lindsay.  R. H. M., a white man aged 65, a pharmacist, has an eruption located principally on the legs, which began about two months ago. It consists of multiple shallow ulcers covered with brownish crusts. Each lesion is surrounded by a purplish red inflammatory areola; some of them are discrete papules with crateriform centers. Old lesions which have healed have left scars. There is no history of ingestion of drugs other than the use of iodized salt. A physical examination showed no abnormality except numerous decayed teeth. A blood count showed 59 per cent hemoglobin and 4,000,000 red cells. The white blood cell count was normal. A urinalysis showed albumin and occult blood. The stool also revealed occult blood. The Wassermann reaction was negative.

DISCUSSION  Dr. L. F. X. Wilhelm: I think the whole picture

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