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March 1958


AMA Arch Derm. 1958;77(3):346-347. doi:10.1001/archderm.1958.01560030092022

Phagedenic Ulcers. Presented by Dr. Charles C. Dennie, Dr. Donald L. Fuhrman, and Dr. Bruce V. Drowns.

The chief complaint is that of ulcers of long standing. The lesions began as small pustules or a folliculitis, in 1949, accompanied by pain over the lower abdomen. Clinical course today is characterized by a pustule, or a nodule, which rapidly breaks down, producing ulcers surrounded by a bluish-red halo, spreading rapidly. It may extend deeply and at the same time spread peripherally. The lesions are unpredictable in their course, some being of short duration and seem to be abortive while others progress to ulcers as you see them today.

Approximately eight years ago the patient complained of pain over the lower abdomen accompanied by pustules over the entire body. The pustules usually appeared in groups. After the abdominal pains became unusually severe, the pustules would disappear. Four years

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