Lichen Myxedematosus. Presented by Dr. James F. Madison and Dr. John R. Haserick.
This 40-year-old white female was in good health until the fall of 1959 when her earlobes became "sensitive" to touch, and she noted redness of the bridge of the nose and coarsening of the skin over the glabella. During the next 8 months, the patient developed transient flushing on the thighs, followed by the appearance of asymptomatic flesh-colored papules on the knees elbows, arms, earlobes, cheeks, forehead, nose, and dorsa of the wrists and fingers, in that order. In July of 1960 the patient noted persistent erythema of the face, sparing the periorbital skin and giving the appearance of having been sunburned while wearing dark glasses. Beginning in October, 1960, the patient experienced mild swelling of the fingers, stiffness of the knees and ankles, soreness in the tibiae and heels, and numbness and cyanosis of the
Stewart JJ, Sato SI, Netherton TE. CLEVELAND DERMATOLOGIC SOCIETY. Arch Dermatol. 1961;84(3):517–522. doi:10.1001/archderm.1961.01580150163047
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