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February 1947


Arch Derm Syphilol. 1947;55(2):277-299. doi:10.1001/archderm.1947.01520020132016

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Erythema Chronicum Migrans. Presented by Dr. H. N. Cole and Dr. J. R. Driver.  W. S., a white woman aged 56, was born in the United States. Three years ago a red ring developed on the anterior surface of the neck. Later two similar lesions appeared. All three have gradually enlarged and become confluent. She has used iodine locally. Recently a new lesion has appeared just below the confluent lesions.On the front of the neck is a thin, raised, firm, red, serpiginous lesion in a roughly circular outline, representing the coalition of several lesions. The lesion is slightly indurated and slightly raised above the surface. Below it there is a nickel-sized annular area, flat in the center. There is no scaling and no vesicle formation. The hemogram and urinalysis gave normal results. A roentgenogram of the chest showed calcified foci. The maxillary sinuses showed thickening of the mucous membranes.

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