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February 1943


Arch Derm Syphilol. 1943;47(2):261-272. doi:10.1001/archderm.1943.01500200105016

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Unilateral Acrodermatitis Chronica Atrophicans: Avitaminosis. Presented by Dr. Herbert Rattner.  Mrs. F. W., aged 59, reported to the dermatologic department of Mandel Clinic two weeks ago because of dermatitis of the eyelids. Examination showed also a smooth, bright red tongue, perlèche and a pitting edema of the legs. The skin of the dorsum of the left hand and forearm was atrophic. The underlying vessels showed through the skin. The surface was mottled with macular pigmented lesions, and scattered over the left forearm there were sharply outlined coin-sized erythematous and eczematous patches. There were areas with keratotic plugs on the extensor surface of both elbows. The patient complained of a burning sensation of the soles.Treatment consisted of a high vitamin diet and administration of yeast tablets. She returned today with improvement in the perlèche and the stomatitis, but there was little change in the rest of the picture.


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