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Urticaria Pigmentosa. Presented by Dr. Jack Wolf.
W. C. N., a white boy aged 13 months, is presented with an eruption of ten months' duration, which appeared shortly after vaccination, at the age of 3 months. The eruption was widespread from the beginning, and new lesions have continued to appear. There are no subjective symptoms.
The eruption is profuse; lesions are present on the head and neck, the torso and extremities and the palms and soles. The individual lesion is a small oval-shaped papule, approximately 1 by 0.5 cc.; there is little variation as to size and shape. The color is yellowish and suggests the possible diagnosis of xanthoma. On mild friction there is rather pronounced whealing.
Dr. Fred Wise: I agree with the diagnosis as presented.
Dr. Wilbert Sachs: I agree with the diagnosis, but I believe that biopsy of a specimen from a lesion
Cipollaro AC, Sachs W. MANHATTAN DERMATOLOGIC SOCIETY. Arch Derm Syphilol. 1945;52(2):132–136. doi:10.1001/archderm.1945.01510260062018
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