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November 1969

Clinical Recognition of Clear-Cell Acanthoma (Degos')

Author Affiliations

Decatur, Ga; Houston

From the Department of Dermatology, Emory University School of Medicine, Atlanta (Dr. Fine), and the Department of Dermatology, Baylor College of Medicine, Houston (Dr. Chernosky).

Arch Dermatol. 1969;100(5):559-563. doi:10.1001/archderm.1969.01610290043009

We are reporting four additional patients with typical Degos' clear-cell acanthomas to emphasize that a clinical diagnosis is possible.

A single, 1- or 2-cm, slowly growing, domeshaped, sharply delineated, erythematous, usually smooth papule, stippled with tiny red puncta which blanche on pressure and marginated by a thin keratinous scale, suggests the diagnosis. Presurgical recognition may avert unnecessary radical treatment.

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