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A Case for Diagnosis (Perifolliculitis Capitis Abscedens et Suffodiens?). Presented by DR. Otto E. L. Schmidt and (by invitation) Dr. W. E. Weber.
L. L., a 51 year old Negro, first acquired pustules in the occipital region nine years ago. The condition was treated with various ointments but extended to involve a large portion of the scalp, attended by the development of alopecia in the occipital region. Exacerbations with a purulent discharge have occurred, but there has never been a complete remission. There is a history of a penile lesion acquired fifteen years ago, with a positive reaction to a blood test for syphilis two years before presentation. The patient was given sixteen injections into the arm and hip one year ago, the diagnosis being latent syphilis. There is a 4 by 6 cm. area of partial alopecia over the occiput. The area feels boggy and fluctuant, with some induration.
Keddie FM, Shumate A, Rees RB. SAN FRANCISCO DERMATOLOGICAL SOCIETY. Arch Derm Syphilol. 1950;62(3):450–457. doi:https://doi.org/10.1001/archderm.1950.01530160104021
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