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Scleroderma. Presented by Dr. Charles F. Post.
M. W., 59-year-old white woman, was first seen in May, 1954, with a lesion of the right upper abdomen of about three years' duration. She stated that nine years ago she had a cholecystectomy. The cutaneous lesion first appeared in a small area about the upper pole of the surgical wound. This has persisted with little change until the last three months, when the area began to enlarge and feel drawn and stiff.
On the right upper abdomen there is a long, well-healed surgical scar. Surrounding this, there is a large, firm, irregularly outlined, plaque-like, slightly yellow lesion. The border shows a faint purple color.
Biopsy diagnosis was localized scleroderma of the skin.
The area has grown slightly larger during a five-month period of observation. The patient has applied vitamin A cream, has taken hot baths, and 100 mg. tablets of vitamin E.
Charles F. Post, C. Douglas Walsh. METROPOLITAN DERMATOLOGICAL SOCIETY OF NEW YORK. AMA Arch Derm. 1955;71(5):660–663. doi:10.1001/archderm.1955.01540290100033