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Article
May 1946

MINNESOTA DERMATOLOGICAL SOCIETY

Arch Derm Syphilol. 1946;53(5):514-521. doi:10.1001/archderm.1946.01510340080013

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Abstract

A Case for Diagnosis (Necrobiosis Lipoidica?). Presented by Dr. John F. Madden, St. Paul

Mrs. F. F., a housewife aged 53, was presented at the October 1943 meeting of the Minnesota Dermatological Society. The patient has had recurrent ulcers involving the entire legs from knees to ankles for the past seven years. The ulcers are healed at this time. She has had ligations of the bilateral saphenous vein and many injections for varicose veins. The patient is 5 feet 5 inches (165 cm.) tall and weighs 300 pounds (136 Gm.). She has irregular asymptomatic plaques with orange yellow borders and light pink centers extending from the lower third of the thighs to the ankles. None of the lesions are ulcerated. The urinalysis showed a sugar content as high as 4.8 per cent in 1943. The urine is now free of sugar. The fasting blood sugar has ranged from 150 to

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