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May 1940


Arch Derm Syphilol. 1940;41(5):952-971. doi:10.1001/archderm.1940.01490110138021

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A Case for Diagnosis (Chronic Ulcer of the Back). Presented by Dr. J. Gardner Hopkins.  R. S., a man aged 29, is presented for Dr. Frank L. Meleney. The patient was under the care of Dr. Chiaramonte, of Brooklyn, and gave the following history. A pimple appeared on his back in 1935. This was squeezed and pus was obtained. Instead of healing, an ulcer gradually developed. This was finally excised and sent to the Meredith Laboratory for microscopic examination. The following report was given by Dr. Leon Cornwall: "The material consists of a piece of skin, oval in shape, measuring 11 cm. in its longest dimension and 4.5 cm. in width. The underlying tissue is firm. Microscopic examination discloses intense round cell infiltration in all layers of the skin extending from the epidermis to the subcutaneous fat tissue. Giant cells are found in abundance, particularly in the deeper layers of

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