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November 1960

What Is This(?)

Arch Dermatol. 1960;82(5):831-833. doi:10.1001/archderm.1960.01580050173029

A 19-year-old Negro woman has had recurrent episodes of swollen painful joints and a rash on the legs for the past 20 months. She was first seen one year ago at which time the ankles, knees, and left elbow were swollen. At present she is comfortable except for some pain and limitation of motion of the left elbow joint. Enlargement of the lymph nodes of the left anterior cervical chain, which was first noted 10 months ago, has since become more marked. She was free of cutaneous lesions last summer. A new crop of lesions appeared on the legs a few weeks ago without attendant swelling of the joints. The patient takes "cod liver oil pills, 4-Way cold tablets and BC's."

The lesions are distributed symmetrically over the legs. During the acute phase they were duskyred, rounded, tender, nodular elevations. Where resolution has occurred there is hyperpigmentation and slight depression

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