Malignant Vasculitis (Dermatitis Nodularis Necrotica). Presented by Dr. Harold Blumenthal (Service of Dr. Richard B. Stoughton, Western Reserve University).
This 38-year-old man first began to experience skin difficulty in February, 1960, at which time he noted lesions on his face and lower extremities. These lesions developed into severely painful ulcers.The history is significant in that he underwent surgery for superior vena cava obstruction in February, 1960. A mass was palpated during surgery adjacent to the superior vena cava, which upon biopsy was felt to be "granulomatous in nature."He was admitted to Lakeside Hospital on July 6, 1960, for his skin condition, and he subsequently improved with therapy. He was followed in the Outpatient Department until Sept. 10, 1960, when he was readmitted with acute flank pain. Intravenous pyelogram at this time revealed a non functioning right kidney with enlargement of the renal shadow on this side. Retrograde pyelograms
Stewart JJ, Sato SI, Netherton TE. CLEVELAND DERMATOLOGICAL SOCIETY. Arch Dermatol. 1961;83(4):699–703. doi:10.1001/archderm.1961.01580100163031
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