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Scleroderma. Presented by Dr. Arthur J. Tronstein (by invitation).
Discussion
Dr. George H. Curtis: The patient with scleroderma of the lower extremity and a few lesions on the trunk was followed in the Cleveland Clinic from Nov. 22, 1955, to June 6, 1956. The diagnosis of localized scleroderma was based on the clinical course, morphology, and biopsy. During the six months of observation, the dermatosis extended to involve the thigh and buttocks, and a lesion or two appeared on the trunk. Since then the progress has apparently ceased, as the patient states there has been no progress in the past several months. There was flexural contraction of the knee, and the ankle was almost completely fixed. The unusual feature was the progression of lesions, accompanied by peripheral bullous formation, with subsequent ulceration on the leg and thigh. The progress waxed and waned, with new bullae,