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December 1962


Arch Dermatol. 1962;86(6):803-810. doi:10.1001/archderm.1962.01590120101017

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Case for Diagnosis: Acanthoma, Calcifying Epithelioma of Malherbe, Proliferating Epidermal Cyst? Presented by Drs. Sidney and (by invitation) A. Sankstone.  This 75-year-old Negro woman suffered an injury of the occipital region 65 years ago. The wound healed without incident. In 1954, she developed a solitary cyst in the area of previous trauma. It was aspirated by her family physician, yielding several milliliters of dark-colored fluid. It was tender and painful. Gradually, several contiguous lesions developed which were also sore.The patient was first seen at the Cook County Hospital in August, 1961, with firm, moderately tender tumefactions of the scalp. She was treated with various placebo medications, which she feels have reduced the pain. There has been no objective change.

Discussion  Dr. Frederick J. Szymanski: I had the opportunity of seeing the slide before seeing the patient. Two things were considered at that time: keratoacanthoma and calcifying epithelial cyst. My

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