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A Case for Diagnosis. Presented by Dr T. Cornbleet and (by invitation) Dr D. Cohen and Dr D. Musgrave.
R. S., a 40 year old Negro man, has had an eruption of the scalp and buttocks of one and one half years' duration. The first lesions were small nodules over the buttocks and scalp, which later discharged a foul-smelling yellowish material. At present, the scalp lesions have healed with scar formation and resultant alopecia. Numerous discharging sinuses remain in the inguinal and perianal regions.
On physical examination numerous areas of atrophy, scar formation and associated alopecia may be observed scattered over the scalp.
Over both buttocks are palm-sized indurated areas with scarring and atrophy. Numerous sinuses are found in this area and also in the inguinal region.
Laboratory examination gave the following results: urinalysis, normal; serologic picture, normal; hemoglobin, 70 per cent; red blood cell count, 3,200,000, and
Laymon CW, Webster JR. CHICAGO DERMATOLOGICAL SOCIETY. Arch Derm Syphilol. 1950;62(4):580–590. doi:10.1001/archderm.1950.01530170106020
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