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Localized Scleroderma and Calcinosis Cutis. Presented by Dr. Fred Wise.
G. E., a man aged 42, in excellent general health, presents a tumor-like mass over the lower portion of the right scapula, which he first noted, about a month ago. The affected area is about 4 inches (10 cm.) in diameter, slightly elevated above the surrounding skin and somewhat inflamed in the central portion, which is more prominent than the surrounding tissues of the plaque. To the palpating finger, the degree of induration is that of a hard rubber ball. The skin over the tumor mass is firmly bound down and has the clinical features of scleroderma. The biopsy punch encountered tissue which cut like gristle. Pain and tenderness are absent.
Histologic examination did not reveal sufficient changes to establish a definite diagnosis but indicated the existence of scleroderma with deposits of calcium in the corium.
Dr. E. William
Lewis GM, Sachs W. MANHATTAN DERMATOLOGIC SOCIETY. Arch Derm Syphilol. 1946;54(1):109–114. doi:10.1001/archderm.1946.01510360113024
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