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July 1964


Arch Dermatol. 1964;90(1):120. doi:10.1001/archderm.1964.01600010126034

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Scleroderma-Cutaneous Myxedema. Presented by Dr. Eldred Heisel. 

History.—  A 60-year-old white woman was in excellent health until approximately two years ago when she noted itching of the forearms. In three to four months, tightening of the skin of the forearms and chest became apparent and gradually spread to involve the upper extremities, breasts, abdomen, and lower extremities. About two or three months prior to hospitalization in September, 1962, in addition to tightness, the legs became scaly and rough with irregular nodular swelling. She had no dysphagia or complaints related to other systems.

Physical Examination.—  This patient presented a generalized symmetrical eruption in which the face and anterior neck were spared. The skin in all areas except the legs was tight, firm, smooth, shiny, and hyperpigmented. The skin of the face and anterior neck appeared essentially normal. The anterior aspects of the legs were covered with semitranslucent, nonpitting nodules. The physical

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