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September 1966


Arch Dermatol. 1966;94(3):376-378. doi:10.1001/archderm.1966.01600270126028

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Pseudoxanthoma Elasticum.—Presented by Farrington Daniels, Jr., MD. 

History.—  The sites of this condition are periumbilical and the duration is approximately ten years.This 70-year-old Puerto Rican woman has been followed in the clinic of the New York Hospital since 1963 for diabetes mellitus, possible hiatus hernia, obesity, and mild osteoarthritis. The diabetes was first diagnosed 10 to 12 years ago and at that time she first noted the appearance of an eruption in the periumbilical region. No other skin involvement was present. The diabetes has been intermittently controlled with oral hypoglycemic agents and diet. In recent months the following symptoms have made their appearance or increased in severity: bilateral intermittent claudication, exertional dyspnea, nuchal pain, dizziness, dimness of vision, and questionable angina pectoris. There is no history of hypertension, heart attacks, or cerebrovascular accidents. Skin lesions have shown no recent change in character or distribution.Family

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