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A Case for Diagnosis (Contact Dermatitis?). Presented by Dr. Clement E. Counter.
H. S., a man aged 48 years, observed the onset of the present dermatitis of the face, neck and right hand on Sept. 11, 1943. Since then the lesions have been continuous. He had to cease work. In spite of various treatments there has been no improvement at any time since its onset. There have been many previous attacks for the past twenty years. The patient had some asthma during boyhood.
The face is red and swollen, with a tendency to crusting and fissure formation. On the chin and cheeks are numerous discrete round smooth papules about 3 mm. in diameter. These are crowded together on the chin and are more widely separated on the cheeks. The backs of the hands and forearms are also red, crusted and fissured. There are no other lesions on the body.
Goeckerman WH, Counter CE. LOS ANGELES DERMATOLOGICAL SOCIETY. Arch Derm Syphilol. 1945;51(1):59–63. doi:10.1001/archderm.1945.01510190064012
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