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Case for Diagnosis: Psoriasis? Fungous Infection? Contact Dermatitis? Presented by Dr. Eugene F. Traub.
R. M., a doctor's wife, over 50 years of age, first came to the office 10 years ago for removal of several keratoses on the abdomen. Through the years she developed occasional other keratotic lesions of the lower part of the abdomen, and these have been either controlled by topical preparations or removed by desiccation. Suddenly in July, 1954, she developed an erythematous, scaly lesion on both soles and a similar erythematous lesion over the right eyelid. The latter quickly cleared and was considered to be contact dermatitis. The lesions of the feet did not respond to x-ray therapy or antifungal ointments. A biopsy apparently ruled out psoriasis. Patch tests to all suspected contactants have been negative with the exception of tests to nylon and to one particular shoe lining. The patient has been out
Graham JC, Machacek GF. NEW YORK DERMATOLOGICAL SOCIETY. AMA Arch Derm. 1955;71(6):777–781. doi:10.1001/archderm.1955.01540300099027
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