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M. F. ENGMAN Jr., M.D.
JAMA. 1935;105(16):1252-1256. doi:10.1001/jama.1935.02760420022006.
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In 1926 M. F. Engman Sr.1 presented before the Chicago Dermatological Society a case of reticular pigmentation of the skin with atrophy. In his description of the case he remarked that the brother of this patient also suffered, but to a lesser degree, from the same condition. These patients have continued under our observation and have submitted to certain studies, which are reported here.


Case 1.—History.—  C. L. is a white man now 32 years of age. His parents are fair-skinned Americans of Anglo-Saxon descent. As a baby the patient was frail and weak. At 3 months he had attained his birth weight. As a child he was delicate, of sallow complexion, and a poor eater. Otherwise, however, he was normal.At the age of 8 years there appeared on the tongue and buccal mucosa small ulcerations and leukoplakia-like lesions, which would not heal.


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