Case for Diagnosis (Scleredema Adultorum?). Presented by Dr. George T. Lenahan.
This 35-year-old male was seen only once on Jan. 3, 1961, complaining of a swelling of his face which had been present for 4 months following an upper respiratory infection. The following studies had been ordered by a general practitioner, and all were within the normal limits: lupus erythematosus cell preparation, bone marrow study, complete blood count, urinalysis, chest x-ray, serological test for syphilis, sedimentation rate, and x-rays of the sinuses, which showed a possible ethmoiditis. However, in view of the absence of fever and subjective symptoms, combined with a normal sedimentation rate and blood count, this was considered unlikely. He had also been seen by an allergist, who came to no conclusions. Oral steroids and corticotropin injections were of no value.The only drug this man had taken was acetylsalicylic acid (aspirin). He uses Dial and Zest soaps
Joseph HL, Epstein JE, Bennett JH. SAN FRANCISCO DERMATOLOGICAL SOCIETY. Arch Dermatol. 1961;84(2):343–347. doi:10.1001/archderm.1961.01580140167028
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