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Unilateral Acrodermatitis Chronica Atrophicans. Presented by Dr. Gerald Frank Machacek.
H. W., a white woman aged 50, began to have lesions following sunburn five years ago which now involve the right forearm and part of the right arm throughout most of the circumference. These are erythematous, atrophic and on palpation firmer than normal cutaneous tissue. The two radial pulses are equal.
Roentgenologic examination of the cervical region disclosed no cervical ribs. Histologic examination confirmed the diagnosis of acrodermatitis chronica atrophicans.
Dr. Joseph C. Amersbach: I cannot give much help as far as treatment is concerned. I agree with the diagnosis.
Dr. J. Lowry Miller: The interesting feature is the unilateral characteristic. There is a history of having pain in the same side of the neck previous to the onset of the eruption. The patient received diathermy treatment for the pain. A cervical rib was thought of at the
Montgomery RM, Miller JL. METROPOLITAN DERMATOLOGICAL SOCIETY. Arch Derm Syphilol. 1946;54(4):494–496. doi:10.1001/archderm.1946.01510390119013
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