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September 1959


AMA Arch Derm. 1959;80(3):350-357. doi:10.1001/archderm.1959.01560210092021

Porphyria Cutanea Tarda. Psoriasis. Presented by Dr. Otto C. Stegmaier.

History: A 44-year-old white man was first seen on May 6, 1958, because of a chronic scaling dermatitis of the scalp. At that time it was noticed that he had a purplish pink color of the face and "V" of the neck. Further questioning revealed a history of vesicular eruption of the dorsa of the hands and arms last summer. He has noted that his urine was darker than usual. He consumes about three beers a day. He is a bartender.

Examination: Diffuse dermatitis and adherent scaling of the scalp were seen. The head, neck, and "V" of the chest reveal a pinkish hue. Over the dorsa of the hands and lower two-thirds of the arms there are scattered red depressed macular and linear areas (linear areas due to "dog scratches"). Examination of the abdomen did not reveal

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