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January 1955


AMA Arch Derm. 1955;71(1):131-139. doi:10.1001/archderm.1955.01540250133029

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Vitiligo. Presented by Dr. William Halpern, Worcester, Mass.

J. R., a 39-year-old Negro woman, noticed patches of depigmentation on the forearms six months before presentation. The patches became larger, coalescing on the arms. New areas of depigmentation appeared on the trunk, legs, neck, and face.

There were oval and round depigmented areas scattered over the entire skin surface. The long axis of many lesions was parallel to the lines of cleavage of the skin.


Dr. William Wolf, Lowell, Mass.: When this patient was first examined a few weeks ago at the clinic, the areas of depigmentation were confined largely to the neck area and the upper chest. Curiously the lesions then were somewhat oval in shape, and so the differential diagnosis considered at that time was the possibility of vitiligo, as well as healed pityriasis rosea with depigmentation. However, within a short time there was a tremendous spread

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