A Case for Diagnosis. Presented by Dr. George H. Belote.
S. D., a man aged 44, a roentgenologist, born in America, presents a generalized eruption of three years' duration. The past history is unessential. Two uncles of the patient had hypertension. The first lesion was a dime-sized purpuric macule on the left shin, accompanied by prickling sensations. Two days later approximately a dozen new lesions of the same nature appeared. These were accompanied by marked gastric hyperacidity. Roentgen examination of the gastro-intestinal tract and of the gallbladder gave negative results. One week later the eruption spread to the other leg and to one arm. The hyperacidity continued. Since then the eruption has spread gradually, remissions and exacerbations occurring.
The eruption is apparently worse when the resistance is low. It is generalized and spares, for the most part, the hands and face. It appears as plaques varying in size