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September 1956


AMA Arch Derm. 1956;74(3):332. doi:10.1001/archderm.1956.01550090106028

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Adiposis Dolorosa (Dercum's Disease). Presented by Dr. Herbert L. Joseph.

A 56-year-old diesel mechanic has had "lumps" under the skin for about 20 years. At first they are painful for about two or three months and after that are symptomless.

The newest lesions are on the left lower abdomen and are now painful. He gives a history of having had a ruptured appendix and hemorrhoidectomy four years ago and the surgical removal of a carcinoma of the lip in 1953.

The examination is negative except for the large subcutaneous soft tumors occurring singly and in clusters up to 15 to 20 cm. in diameter on the trunk, thighs, and arms.

The slide is presented from a biopsy taken from the right abdominal wall.


Dr. Walter E. Weber, Santa Rosa: I have never seen a true case of Dercum's disease, at least, one wherein everyone agreed that this was the

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