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A Case for Diagnosis (Granuloma Annulare or Tuberculid?). Presented by Dr. Leslie P. Barker.
S. S., a housewife aged 53, presents an eruption that began five months ago on the face and within a month spread to the arms. The lesions first appeared as itching, red macules that developed into round thickened papules.
The patient had an operation for what was apparently an abscess of the appendix about eleven years ago, and a second operation was performed to relieve the adhesions and also to relieve a persistent draining sinus that had remained after the first operation. Since the second operation, the patient has had frequent recurring attacks of diarrhea. Two years ago arthritis developed in the fingers. She was relieved somewhat by vaccines prepared from the stool, although the arthritis persisted to a mild degree. At the present time she is under treatment for colitis.
There are numerous,
Van Dyck L, Montgomery R. METROPOLITAN DERMATOLOGICAL SOCIETY. Arch Derm Syphilol. 1945;51(3):214–216. doi:10.1001/archderm.1945.01510210056016
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