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Notable Notes |

Thank You, William!

Raoulin Soulard, MD
Arch Dermatol. 2012;148(7):843. doi:10.1001/archdermatol.2012.1252.
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A long time ago, my little sister bought a set of glass photographic plates at a garage sale and gave them to me for my birthday. The plates came from William Dubreuilh's Department of Dermatology, Hôpital du Tondu, Bordeaux, France. Dubreuilh (1857-1935), who was French by his father, Irish by his mother, and friend of Jonathan Hutchinson (1828-1913), is remembered by any student of medicine for his “Mélanose circonscrite précancéreuse,” or melanosis circumscripta praeblastomatosa for those more familiar with the latinized term, a concept in which he emphasizes the precancerous character of melanosis and its facultative progress to outright malignancy, thus pointing to the necessity of preventive therapeutic measures, in line with today's concept of lentigo malignant melanoma.1

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Figure. A, Madarosis, saddle nose, and a thickened earlobe; B, ichtyotic skin and wounds.

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