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January 1940


Arch Derm Syphilol. 1940;41(1):139-157. doi:10.1001/archderm.1940.01490070142019

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Xanthoma Diabeticorum Chiefly Limited to the Palms. Presented by Dr. W. F. Schwartz.  M. D., a woman aged 51, was first seen in the dermatologic clinic at the City Hospital on Feb. 16, 1939, complaining of yellow streaks in the palms. She stated that these had been present for five months. She was known to have had diabetes for nearly three years, which had been controlled chiefly by dietary methods except for a period beginning nine months ago, when insulin was given for three months. She admits that since then she has not followed the recommended diet. About one month after the insulin was discontinued the yellow streaks appeared in the palms.There is an orange-yellow ribbon-like infiltration in all the flexor folds on the fingers, palms and wrists. A nodule 2 mm. in diameter, of similar color, is situated on the tip of the left elbow. There is no

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