VERRUCOSE NEVUS. Presented by DR. CHAMBERS for DR. STOKES.
R. E., a girl, aged 16, presented several elevated, nodular, verrucose lesions on the extensor and lateral surface of the lower part of the leg. They were of nine years' duration and had remained almost unchanged, though, according to the patient, there was slight involution.
DISCUSSION
DR. KNOWLES: I think that tuberculosis verrucosa cutis should be considered.
DR. WEIDMAN: The sections from biopsy showed no granulomatous changes; there was hyperkeratosis and acanthosis, and few if any changes had occurred in the corium. I have thought of prurigo nodularis, but very little pruritus is associated, and that occurred only after the lesions developed.
DR. WEIDMAN: There was nothing diagnostic in the microscopic section to support a diagonsis of nevus.
DR. HIRSCHLER: Itching should be extreme if it were prurigo nodularis, and in the ordinary form there should be a greater number of
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