depressed, slightly depigmented, varioliform scars, erythematous papulations, and crusted papules with depressed centers. The lesions are discrete and symmetrically distributed. There is no adenopathy.
Biopsy read by Dr. Charles Sims revealed features that were interpreted as varioliform lesions such as are found in some drug eruptions and in acne varioliformis. Other laboratory studies, including tuberculin tests, urinalyses and serologic tests, have not been contributing.
Topical antiseptic and systemic antibiotic therapy has been of no avail.
Dr. Conrad Stritzler: The distribution of the lesions, chiefly on the extremities, and the absence of the necrotic centers are against acne varioliformis. While discussing the taking of medications, the patient suddenly remembered that she has taken elixir of triple bromides over a long period of time. I suggest a diagnosis of acneform dermatosis, probably bromoderma.
Granuloma Annulare. Presented by Dr. Irving D Ehrenfeld.
Nummular Eczema? Dermatitis Herpetiformis? Presented by Dr. Alexander
Tolman MM, Catinella PJ. NEW ENGLAND DERMATOLOGICAL SOCIETY. AMA Arch Derm. 1957;76(4):503–511. doi:10.1001/archderm.1957.01550220111021
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