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Diffuse Scleroderma and Dermatomyositis. Presented by Dr. Carroll S. Wright and Dr. Reuben Friedman.
C. F., a white man aged 36, presents a generally dry, shiny, tense and thickened skin. Brownish hyperpigmentation and depigmentation are present on the arms, hands, trunk and thighs. The abdominal skin and the scrotum are particularly thickened. Both hands are tense, cold, white and atrophic. The fingers are fixed in moderate flexion. There is impairment of motion in the wrist, shoulders, elbows, cervical portion of the spine and ankles. The muscles of the back, of the back of the neck and of the abdomen are abnormally hard and firm. The patient had jaundice at the age of 18. He was well until October 1939, when his right knee became swollen, tender and painful. The left knee, feet, hands and forearms subsequently became similarly involved. He was confined to bed in January and February 1940 but
Beerman H, Pillsbury DM. PHILADELPHIA DERMATOLOGICAL SOCIETY. Arch Derm Syphilol. 1941;44(6):1164–1168. doi:10.1001/archderm.1941.01500060185022
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