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October 1991

Sclerodermoid Plaques in a Middle-aged Man

Author Affiliations

Indiana University Medical Center, Indianapolis

Arch Dermatol. 1991;127(10):1573-1574. doi:10.1001/archderm.1991.01680090137020

REPORT OF A CASE  A 41-year-old white man presented with a 2-year history of sclerotic lesions in the scalp, face, trunk, and arms (Fig 1). Thickening and a tightening sensation in these areas had been associated with hair loss. Mild lesional tenderness was occasionally noted with sun exposure. No primary lesions had been observed. The patient denied systemic symptoms. He had consumed 1020 to 1800 mL (36 to 60 oz) of beer a day for 15 years. Recent medications included aspirin and propoxyphene hydrochloride (Darvon). No family history of similar skin disease was elicited.An extensive medical evaluation had been conducted before presentation. The rapid plasma reagin test for syphilis, chest roentgenogram, antinuclear antibody, anti—extractable nuclear antigen, anti—native DNA, rheumatoid factor, human immunodeficiency virus, and hepatitis screens all showed negative findings. A liver-spleen scan revealed mild hepatosplenomegaly. Laboratory findings showed the following abnormal results: serum ferritin, 731.2 μmol/L (normal,

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