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A Case for Diagnosis (Prurigo Nodularis?). Presented by Dr. Leslie P. Barker.
M. H., a white woman aged 54, presents a lesion which began three years ago as a small nodule on the left leg just above the ankle. It started to enlarge two years later and within a few months attained its present size. Itching has been severe since the onset.The patient has had varicose veins since the age of 15 and several attacks of phlebitis. The last attack, following a pelvic operation fifteen months ago, involved the right leg.On the inner side of the left leg, just above the ankle, there is a circumscribed, silver dollar—sized, lichenified, bluish red, slightly roughened, scaly lesion with two excoriations over the surface.Treatment has consisted of roentgen therapy, seven exposures of 100 r each. Locally she has used various antipruritic ointments. She has been given injections of estrone (theelin)
Graham TN, McLaughlin RRM. METROPOLITAN DERMATOLOGICAL SOCIETY. Arch Derm Syphilol. 1941;44(4):753–760. doi:10.1001/archderm.1941.01500040208022