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A Case for Diagnosis (Erythema Elevatum Diutinum?). Presented by Dr. D. V. Omens and (by invitation) Dr. Harold D. Omens.
R. R., a Jewish schoolgirl aged 13, presents an eruption of ten months' duration involving the extremities, especially on the extensor surfaces. There are numerous variably sized annular lesions of a violaceous color. They start as pinhead-sized papules and gradually enlarge, become depressed in the center and advance by way of the periphery. The lesions do not disappear; all the lesions that have occurred are still present. There are no subjective sensations.The patient was examined for the first time today; so there has been no time for laboratory studies.
DISCUSSION
Dr. H. R. Foerster, Milwaukee: The eruption suggested granuloma annulare on account of the chronic infiltrate, the raised irregular borders, the slightly depressed centers, the indolence of the inflammation and the localization on the extensor surfaces of the extremities.