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Granuloma of Undetermined Origin (Cryptococcosis). Presented by Dr. J. Walter Wilson and (by invitation) Dr. John W. Hilliard.
Mrs. L. P., a 61-year-old housewife, accidentally scratched the anterior surface of the right lower leg in April, 1950. At about the time that this initial lesion appeared to heal, she struck the same area against a chair leg and reopened the wound. About three weeks later she again struck the original area and severely bruised it. Following this third episode the lesion began to spread from the initial spot with the result that in a period of four months it had progressed from the lower leg up to the knee, in a horseshoe-shaped lesion with healing in the center and a verrucous elevated border, in the periphery of which were studded a multitude of pinhead pustules and a ring of erythema. New lesions had appeared meanwhile on the medial aspect of
Couperus M, Newman BA. LOS ANGELES DERMATOLOGICAL SOCIETY. AMA Arch Derm Syphilol. 1952;65(3):372–376. doi:10.1001/archderm.1952.01530220113019
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