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September 1941


Arch Derm Syphilol. 1941;44(3):487-495. doi:10.1001/archderm.1941.01500030169024

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Erythema Chronicum Migrans (Lipschiitz). Presented by Dr. Patricia Drant.  L. O., a white woman aged 52, was presented before this society last year (Arch. Dermat. & Syph.42:746 [Oct.] 1940). She has an eruption which began on the dorsum of the right hand four years ago as erythematous papules. The infiltrated erythematous margins spread peripherally, with coalescence of the lesions and development of slight atrophy in the centers. For three years the eruption was limited to the dorsum of the right hand and to the extensor surface of the right forearm. The same surfaces of the left hand and forearm became involved one year ago, and the upper thoracic region six months ago. Lesions are beginning to appear on the exposed "V" of the neck. There are no subjective symptoms. Serologic tests of the blood for syphilis gave negative results.

DISCUSSION  Dr. Patricia Drant: My first diagnostic consideration in

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