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Erythema Induratum. Presented by Dr. Wilbert Sachs.
M. S., a woman aged 29, born in Greece, was first seen by me on Jan. 11, 1949. Four months before, she had acquired a subcutaneous mass in the right buttock which soon grew larger and ulcerated through the skin. A bloody purulent drainage was noted, but there was no fever or tenderness. This process of ulceration and drainage has repeated itself four times since then. No treatment has been administered. The patient has lost 30 pounds (14 Kg.) during the past three years.
There is a firm, deep, subcutaneous, granulomatous mass, 2 inches (5 cm.) in diameter, involving the right buttock. The overlying skin is bound down and of a dark brown color. No ulceration is present at this time.
A blood count showed 11.6 Gm. of hemoglobin, 3,900,000 red blood cells and 4,400 white blood cells, with 60 polymorphonuclear leukocytes, 24
Peck SM, Cipollaro AC. NEW YORK ACADEMY OF MEDICINE, SECTION OF DERMATOLOGY AND SYPHILIS. Arch Derm Syphilol. 1950;62(4):578–580. doi:https://doi.org/10.1001/archderm.1950.01530170104019
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