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A Case for Diagnosis (Macular Atrophy?). Presented by Dr. Earle R. Pace.
Mrs. J. W., a moderately dark Negress aged 36, has been under observation for three months because of an atrophic eruption of the legs, thighs and wrists. She noted the first lesion on the wrist about five years ago, and states that the eruption soon became apparent on the legs and gradually extended to the thighs and wrists. She states that there has been no redness, hardness, roughness, ulceration or abnormal sensation at any time in the evolution of the atrophic lesions.The eruption consists of sharply demarcated atrophic circles or ovals varying in size from that of a small pea to that of a small coin. They are mostly discrete, but in some profuse areas on the legs they are coalescent, forming patches with polycyclic outlines closely resembling the scarring of late syphilis. The eruption is bilateral,
Oliver EA, Rattner H. CHICAGO DERMATOLOGICAL SOCIETY. Arch Derm Syphilol. 1939;40(3):484–493. doi:10.1001/archderm.1939.01490030141024