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August 1964


Arch Dermatol. 1964;90(2):249-250. doi:10.1001/archderm.1964.01600020117030

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Case for Diagnosis. Presented by Dr. Frank E. Cormia.  A white married woman of 53 developed slightly burning areas of the buccal mucosa some three months ago. These became more extensive in the next month; they have persisted to date. Two months ago, linear lesions were noted on the upper lids, a scaly papule near the right inner canthus, patches of scaly dermatitis on right elbow and dorsum of left foot, and a curious hyperkeratotic, 7 mm sized plaque on the tip of the second left toe.

History.—  Pulmonary tuberculosis at 18, chronic sinusitis and "asthmatic" bronchitis, moderate scattered arthritis for 20 years, and hysterectomy for fibroid tumors nine years ago. Considerable local treatment for sinusitis, gold therapy from three to six months ago, stopped after onset of present condition. Treatment of mouth lesions with vitamins A and C was given for one month without improvement. There has been no

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