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Article
April 1950

HAWAII DERMATOLOGICAL SOCIETY

Author Affiliations

President; Secretary Nov. 6, 1948

Arch Derm Syphilol. 1950;61(4):710-714. doi:10.1001/archderm.1950.01530110176024

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Abstract

Scleredema Adultorum (Piffard-Buschke). Presented by Dr. E. K. Chung-Hoon, Honolulu.

M. M., a 38 year old Puerto Rican housewife, was admitted to St. Francis Hospital on March 9, 1947, with a diagnosis of acute rheumatic fever. She had been ill with sore throat, painful and swollen ankle and knee joints and dysphagia for less than a week. On the ninth hospital day she acquired edema of the neck, firm and nonpitting in character, which spread rapidly over the shoulders and arms and chest and upward onto the face. The skin was firm and tight and could not be grasped between the fingers. No pigmentation was noted, and no dermatitis. The rheumatic symptoms subsided under salicylate therapy, and the patient was discharged on May 14. Only slight improvement has occurred in the lesions of the skin (she can open her mouth more widely) since their onset twenty months ago. The

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