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Scleroderma (Seventeen Years' Duration). Presented by Dr. Eugene F. Traub.
C. C., a woman aged 52, was first seen at the New York Skin and Cancer Hospital because of scleroderma almost seventeen years ago. The process has been slightly progressive in some areas and has shown remissions in other areas without treatment. The Wassermann reaction had been repeatedly negative. Examination of the urine showed no abnormalities, and the basal metabolic rate in 1935 was + 22 per cent. The reason for presentation of this patient is to show that the disease apparently has had little, if any, effect on the general health. It has been stated that the prognosis in such cases must be guarded because the disease is related to periarteritis, which may affect the vessels of the kidney, the adrenal glands, the heart, the brain or the other organs, as well as the skin. It has been mentioned by