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Adiposis Dolorosa. Presented by Dr. Hugo Hecht.
B. G., a white woman aged 47, of Hungarian extraction, complains of weakness in both arms and painful lumps under the skin present since April 1932. Later the left arm became afflicted. There were no nervous disturbances and no involvement of the stomach and uterus. Menstruation has been normal. The patient has been married for twenty-seven years and has six children, four girls and two boys, all of whom are normal. The middle lobe of the thyroid gland is enlarged.
Symmetrically on both arms are subcutaneous nodular deposits of the size of an almond, which are not adherent to the skin. The skin is normal, but on the radial sides there is a small reddish stripe along the whole length of the arms. The soft nodules are painful, especially on pressure. The legs are not affected.
Treatment consisting of ingestion of
Netherton EW, Rauschkolb EE, Driver JR. CLEVELAND DERMATOLOGICAL SOCIETY. Arch Derm Syphilol. 1944;50(1):50–52. doi:10.1001/archderm.1944.01510130053016
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