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October 1949


Arch Derm Syphilol. 1949;60(4):624. doi:10.1001/archderm.1949.01530040152012

A NEW clinical experience is always stimulating and as such should be shared with one's colleagues. It is in that spirit that I record the following case.

For quite some time I had been observing a comely young woman for soreness of the roof of the mouth. Although never severe, it was at all times bothersome, particularly so during the menstrual periods when invariably the symptoms were aggravated. Examination showed that her complaint was due to an inflammatory patch on the hard palate—a rather well circumscribed patch about 3 cm. in diameter, slightly edematous, and studded with punctate hemorrhages. It was only slightly tender to touch.

I had never before observed a lesion quite like it, nor could I fit it into any definite dermatologic category—except to suspect that it was due to irritation of some sort. The history, however—and a rather exhaustive history, I thought—

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