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A Case for Diagnosis (Radiodermatitis? Dermatitis Factitia?). Presented by Dr. Eugene F. Traub.
L. K., a woman aged 20, entered the Skin and Cancer Unit of the New York Post-Graduate Medical School and Hospital six or eight weeks ago with open ulcerations of the fingers and sloughing of the nails. Since then the ulcerations have healed under treatment with boric acid ointment.At the time she first visited the clinic the majority of the physicians who saw her thought the ulcerations represented dermatitis artefacta rather than radio-dermatitis, because of the peculiar way the patient claimed that she had held her hand under the x-ray tube, together with the way lead screening had been placed over the back of the hand. However, after further questioning it was learned that for the first three roentgen ray treatments the fingers, held upright, were placed in a cone with the first finger left out,
Maloney ER, Hopkins JG. NEW YORK DERMATOLOGICAL SOCIETY. Arch Derm Syphilol. 1941;44(3):495–522. doi:10.1001/archderm.1941.01500030177025
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