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Xanthelasmoidea in an Infant. Presented by Dr. Fred Wise.
J. D. C., a boy aged 10 months, under the care of Dr. James H. Dwinelle, of the Skin and Cancer Unit of the New York Post-Graduate Medical School and Hospital, shows an eruption which first appeared when he was 1 month old. There are approximately twenty-five distinct lesions, mainly on the back, neck, forehead, cheeks, upper and lower extremities and the soles. Most of them are elliptic and discoid, and they vary from light to dark brown on the trunk, while on the extremities, face and soles they are lemon yellow and fawn colored. Some of the lesions have a tendency to swell spontaneously and later exude a small amount of serum, resulting in formation of thin scabs. At times small vesicles will appear on the surface of the discoid nodules. Mechanical irritation leads to pronounced whealing, followed by serous
Fraser JF, Combes FC. NEW YORK DERMATOLOGICAL SOCIETY. Arch Derm Syphilol. 1939;40(3):510–515. doi:10.1001/archderm.1939.01490030167027
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