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Disseminated Collagen Disease. Presented by Chester M. Sidell, MD, Jack E. McCleary, MD, and J. Gordon Erickson, MD, for discussion of diagnosis and therapy.
Past History.—For the past 1½ years this nine-year-old white female has shown a dermatitis which is clinically asymptomatic. Her general health has been good except for mild stomach allergies and occasional episodes of low-grade, unexplained fever.
Examination.—At this time the patient shows symmetrical, erythematous, elevated, slightly scaly plaques of dermatitis on the dorsum of the fingers, over the joints, the extensor surfaces of the elbows and ankles. Physically, she is a slender, moderately asthenic female, beginning to show the first changes of adolescence. The eruption, as seen here, has remained more or less constant during the past year except for slow, steady improvement consisting primarily of thinning of the plaques and less scaling with a moderate relapse during the month of December.
Laboratory Examinations