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Pagetoid Epithelioma (Scrotum); Arsenical Keratoses (Palms and Soles). Presented by Dr. Nelson Paul Anderson.
F. L., a white man about 50 years of age, presents a sharply demarcated ovoid area of redness, scaling and slight superficial infiltration on the right side of his scrotum. Both palms and soles reveal small but definite punctate arsenical keratoses. He states that the scrotal lesion began about two to three years ago and has persisted ever since. He has had a total of five or six roentgen treatments to the affected area, with temporary improvement. There is no history of arsenical medication. About six or eight months ago he had a lesion removed from the right shoulder (superficial epithelioma?).
The Wassermann reaction of the blood was negative. A biopsy was performed elsewhere and is said to have revealed only chronic inflammation.
Dr. Kendal Frost: I agree with the diagnosis.
Dr. Maximilian E. Obermayer
Wilhelm LFX, Hall AF. LOS ANGELES DERMATOLOGICAL SOCIETY. Arch Derm Syphilol. 1943;48(3):319–328. doi:10.1001/archderm.1943.01510030072014
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