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Werner Kempf, MD; Reinhardn Dummer, MD; Monika Hess Schmid, MD; Tanja Fritz, MD; Brunello Wüthrich, MD; Guenter Burg, MD
Department of Dermatology, Zurich University Hospital, Zurich, Switzerland

Arch Dermatol. 1998;134:1343-1345.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

REPORT OF A CASE

A 56-year-old white woman presented with a solid erythematous nodule on her scalp that had developed 6 years earlier. She denied having a fever, losing weight, or sweating during the night. Her medical history was notable for epilepsy, which was adequately controlled with phenothiazine and chlorpromazine therapy. When a solitary nodule first appeared on the patient's head 6 years earlier, a biopsy specimen revealed nodular, dense B-cell infiltrates without blasts, nuclear atypias, or mitoses. Therefore, the lesion had been regarded clinically and histologically as a B-cell pseudolymphoma. The patient was subsequently treated with potent topical corticosteroid creams and local psoralen–UV-A, but within 2 years the preexisting nodule became larger and 2 further nodules appeared despite the therapy. After topical chemotherapy using carbomustine and topical corticosteroids, the patient had a partial response . . . [Full Text of this Article]

THERAPEUTIC CHALLENGE

SOLUTION

COMMENT

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