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September 1942


Arch Derm Syphilol. 1942;46(3):452-467. doi:10.1001/archderm.1942.01500150118017

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Diffuse Scleroderma and Sclerodactylia. Presented by Dr. Charles R. Rein. R. S., a Negro aged 33, a chauffeur, born in the British West Indies and brought to the United States at the age of 2 years, was first seen at Riker's Island Hospital, Riker's Island, N. Y., on Feb. 24, 1942. He was a drug addict (heroin [diacetylmorphine]) from 1935 to 1938.

He states that in June 1930, while he was an inmate of the Hart's Island Branch Workhouse, he noticed on the left shoulder an area of induration about the size of a silver dollar. There was no discomfort except for continuous peeling for about one month. As the peeling subsided the area became discolored, changing from dark brown to white. This period of discoloration lasted for about three months, after which the skin assumed its natural color. The skin of this area then became fissured and increased in

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