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February 1946


Arch Derm Syphilol. 1946;53(2):188-204. doi:10.1001/archderm.1946.01510310112016

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Dermatomyositis. Presented by Dr. David V. Omens and (by invitation) Dr. Harold D. Omens and Dr. M. S. Kagen.

H. M., a Negro schoolgirl aged 17, was admitted to the Cook County Hospital on July 15, 1944, presenting scleroderma of the face, with contractures of muscles of the extremities and weakness of the neck and shoulder girdle, with limited movement of the involved areas and pain in the lumbar area and muscles of the neck. The symptoms appeared six months previously, following what was thought to be a simple sore throat of a few days' duration.

The skin of the face is bound down, making her appear expressionless. The rest of the skin is normal except for a depigmentation of the neck. The muscular involvement includes the neck, chest and the extremities, of which the proximal areas seem to be more affected than the distal. There are contractures about

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