Excerpt from The Journal of Cutaneous Diseases Including Syphilis, Vol. 36: Official Organ of the American Dermatological Association, January, 1918
She has been under Observation for a period of eight years. Repeated physical examinations, aside from her skin condition, have given practically negative results. Slight traces Of albumin have been present in the urine at times; a moderate degree of leukocytosis has occasionally occurred, from to but the differential blood-count has remained normal. Negative Wassermann reactions have been constant findings in the blood serum.
She entered the University of California Hospital in August, 1909. Her extreme Obesity made it almost impossible for her to walk unaided. The adiposity of the patient is mentioned merely to emphasize the fact that her pathologic skin condition has not reduced her fat - storing ability.
Examination - TO regard the case in its detailed presentation, three types of dermal pathologic changes were present. There were: (a) what has been styled the plaque; (b) a nodule, and (c) a fungating neoplasm. From a clinical viewpoint they are taken in the order named.
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