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Generalized Granuloma Annulare. Presented by Dr. Maurice J. Costello.
D. W., a boy aged 9 years, from Bellevue Hospital, born in New York, gives no family or personal history of tuberculosis. His mother suffers from hay fever. He has had this eruption for eight months. The lesions are on the face, on the extensor surfaces of the extremities and, in a lesser degree, on the torso. The eruption consists of infiltrated, raised, flesh-colored, pea-sized to dime-sized, non-scaly, circinate lesions, which are nonpruritic. They begin as papules and increase in size by peripheral extension, leaving a clear center. A biopsy specimen was taken, but there has been no report on the histologic examination.
Dr. Robert R. M. McLaughlin: My diagnosis is that of the presenter. An interesting point is that the mother gave a history of an eruption she says was psoriasis, and many of the lesions in this boy
Amersbach JC, Graham TN. METROPOLITAN DERMATOLOGICAL SOCIETY. Arch Derm Syphilol. 1941;43(1):184–199. doi:10.1001/archderm.1941.01490190187019
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