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July 1956


AMA Arch Derm. 1956;74(1):109-114. doi:10.1001/archderm.1956.01550070111025

Nonspecific Granuloma. Presented by Dr. R. Raymond Allington, Oakland.

A 10-year-old Caucasian-American girl has for five months had a 3 by 5 cm. granulomatous mass below the left scapula. Eczematization on the surface was healed after using Hydroderm topically following boric acid solution cleansing, but the underlying induration and erythema have persisted to the present time. On Aug. 15, 1955, approximately 12 pinhead-sized, erythematous satellites were noted, which had disappeared spontaneously by Sept. 8, 1955.

Biopsy report on specimen taken June 30, 1955, is as follows: The microscopic sections taken with H and E stains show an intact epidermis. The lesion is characterized by round, oval, and polyhedral basophilic cells extending down deeply into the corium and surrounding hair follicles. No definite inclusion bodies can be demonstrated. No definite neoplastic cells can be seen. Acid-fast stains are negative and periodic acid-Schiff stains are negative for fungi. Diagnosis: Nonspecific granuloma, chronic.

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