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A Case for Diagnosis (Neurotic Excoriations with Pigmentation? Urticaria Pigmentosa?). Presented by Dr. E. William Abramowitz.
Miss E. B., a private patient aged 22, presents pea-sized areas of pigmentation all over the trunk. The eruption has been appearing for the past eleven years and was first accompanied by itching, but this has been absent for the past few years.When she was first seen on Jan. 17, 1941 she presented small red papular lesions with central bleeding points and crusts. These left pigmentary stains with a central depigmentation.The patient admitted picking these lesions when they first started to appear, but she has not done this in the past few years. She is of a nervous temperament and has been rubbing herself vigorously with a towel after bathing. Since she stopped this practice the new lesions are fewer and the pigmentation is less noticeable.Her menstrual periods were irregular a
Fraser JF, Cipollaro AC. MANHATTAN DERMATOLOGIC SOCIETY. Arch Derm Syphilol. 1942;45(1):206–226. doi:10.1001/archderm.1942.01500070210021
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