Pseudoxanthoma Elasticum. Presented by CAPT. DONALD G. MOYER (MC) A. U. S. (by invitation).
A white woman, aged 36 years, noticed the skin of her neck becoming loosened and thickened in 1949. Following minimal trauma to the right eye in 1952 there has been progressive loss of vision. For the past three years there have been dull aches and muscular cramps in the legs and during the past four months intermittent claudication in the right leg.
There are chamois-colored papules on the flexor surfaces of the extremities and on the neck. On the right retina is a macular scar, and there are bilateral angioid streaks. The peripheral pulses are generally decreased. X-ray films show calcification of the femoral arteries.
A slide from the skin biopsy shows the changes of pseudoxanthoma elasticum.
Discussion
DR. HAROLD M. SCHNEIDMAN: This disease is another instance of a condition once thought to be
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