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December 1960


Arch Dermatol. 1960;82(6):1024-1029. doi:10.1001/archderm.1960.01580060180040

Diagnosis: Parapsoriasis en Plaques Associated with Monocytic Leukemia. Presented by Dr. Max Wolf.  Two years ago a white man, now 53 years old, developed a somewhat pruritic eruption on the chest, flanks, and arms. His physician made a diagnosis of "fungous disease" and treated him with Castellani's paint to no avail. Four months ago the patient was hospitalized for severe anemia and shortness of breath. Examination of the skin at this time showed numerous closely set, discrete, oval and band-like, finely scaling plaques of brown color on the chest walls. Similar lesions were present on the shoulders, abdomen, and legs. In the latter places purpura and punctate hemorrhages seemed to be present in the lesions.The peripheral blood picture was remarkable for hemoglobin of 3.9 gm. % and a platelet count of but 14,000.Biopsy of a skin lesion was read by Dr. Arthur B. Hyman as consistent with parapsoriasis en

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