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February 1957


AMA Arch Derm. 1957;75(2):302. doi:10.1001/archderm.1957.01550140146033

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Scleroderma, Widespread Type. Morphea? Presented by Dr. Stanton B. May.

Scattered over the sacral back, abdomen, inframammary, and thigh areas are whitened, blanched, "ivory," atrophic, firm, rounded patches that are up to a palm in size.

A biopsy revealed an atrophic epidermis, thinned, stretched-out, with some serous material on the surface. There was no particular hyper- or parakeratosis. The dermis consisted of interlacing bundles of collagen, and seemed denser than normal. Practically no cellular infiltration is seen and no especial edema.

An injection of bismuth subsalicylate in oil was given intramuscularly at the first and only visit.


Dr. Fred F. Feldman: I, feel this patient has typical morphea. I have been intrigued for some time with the neurologic aspects of scleroderma, particularly of the linear type. A few months ago I had the opportunity to study a patient with recently acquired, extensive morphea who devel

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