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December 1940


Arch Derm Syphilol. 1940;42(6):1151-1162. doi:10.1001/archderm.1940.01490180160015

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A Case for Diagnosis (Circumscribed Scleroderma of the Cheek?). Presented by Dr. Fred Wise.  Dr. A., a physician aged 32, is in good general health. The past personal history is irrelevant. About six weeks ago he noted an area of baldness on the bearded region of the right cheek. This area is oval, about 2 inches (5 cm.) long and 1½ inches (4 cm.) broad, with fairly well defined borders. The condition resembles alopecia areata, but palpation discloses that the involved portion of the cheek not only is devoid of hair but is indurated to a slight degree. The patient states that the loss of hair preceded the onset of the induration. Subjective symptoms are absent. About nine months ago the patient had extensive dental work done on both sides of the mouth, requiring from six to eight roentgenograms. There are no signs of dermatitis, dryness of the skin or

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