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August 1939


Arch Derm Syphilol. 1939;40(2):291-299. doi:10.1001/archderm.1939.01490020118021

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Granuloma Annulare. Presented by Dr. Fred Wise.  A. F., a girl aged 16, registered at the Skin and Cancer Unit of the New York Post-Graduate Medical School and Hospital on Dec. 29, 1938, because of an eruption of eight years' duration. She presents sharply defined discoid lesions, varying from 1 to 8 cm. in diameter on the backs of the hands, extensor surfaces of the forearms, neck, feet and posterior aspects of the left shoulder. The lesions are said to be enlarging, none having disappeared spontaneously. No treatment has as yet been administered.The lesions are discoid and oval, bluish red and flattened in their interiors, but with faintly elevated sloping edges. The largest lesion, about 8 cm. in diameter, on the back of the right hand, presents numerous pinhead-sized almost colorless glistening papules, so closely aggregated as to give the appearance of lichenification. Some of the smaller lesions exhibit

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