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May 1962


Arch Dermatol. 1962;85(5):659-662. doi:10.1001/archderm.1962.01590050089023

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Old Acrosclerosis with Calcinosis Cutis. Presented by Dr. Sigfrid A. Muller.  This patient is a 43-year-old housewife who has a tender "wart" of 3 months' duration on her right index finger. The patient had a severe attack of Raynaud's disease of the hands about 14 years ago, and about 5 years later she had a bilateral cervical sympathectomy because of incipient gangrene of one of the fingertips. The sympathectomy completely relieved her vasospastic symptoms. She did not recall any hardening of the skin of the sacral areas. During the past 3 to 4 years she noticed an increasing number of red spots on the palms, fingers, upper chest, and V area of the neck. Fine perioral wrinkling appeared on the face. (The patient had all of her teeth extracted 18 years ago because of pyorrhea and has worn dentures constantly since the extraction.) Two months ago she noticed a tender,

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