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A Case for Diagnosis (Necrobiosis Lipoidica Without Diabetes?). Presented by Dr. Leo Spiegel.
A. L., aged 54, a housewife, born in Switzerland, has resided in this country for the past twenty-eight years. She was treated at the clinic of the Lenox Hill Hospital from April 17 to June 11, 1935. At that time she presented a lesion which was described as a yellowish infiltrated red patch containing numerous milia. The diagnosis was Bowen's disease. The patient received four treatments with filtered roentgen rays. She disappeared from the clinic and returned on May 15, 1941.On the forehead there is a well defined yellowish plaque the size of a palm. It is smooth and slightly raised, with well demarcated borders. In the central part of the lesion a few confluent papules are present. A similar patch the size of a dime is on the left cheek. There are no subjective symptoms.