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July 1940


Arch Derm Syphilol. 1940;42(1):185-203. doi:10.1001/archderm.1940.01490130189023

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Lupus Vulgaris (Successfully Treated with Injections of Starch). Presented by Dr. Oliver S. Ormsby and Dr. Robert C. Ranquist (by invitation).  Mrs. F. P., aged 77, is presented. Treatment was begun by us in 1920 and included phototherapy, cauterization with solid carbon dioxide, application of keratolytic agents and special diets, all of which only partially controlled the condition. At the present time the major portion of the eruption is on the left arm above the elbow. When first seen the patch was the size of a silver dollar and presented the usual appearance, being slightly elevated, scale covered and reddish brown. The margins showed distinct brown nodules, easily demonstrated on diascopic examination. The injections of starch were instituted on May 4, 1939 and have been repeated at variable intervals, usually of fourteen days. Each consisted of 0.2 cc. of a 15 per cent suspension of arrowroot starch in Ringer's solution.

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