GERALD P. RODNAN, M.D.
To the editor: Dr. Benedek and I have shared Dr. Capusan's doubts concerning the nature of the illness of the young woman described by Dr. Curzio in 1753 (1) and in a recent chapter on progressive systemic sclerosis. I, too, have suggested that signorina Patrizia Galieri may have had scleredema adultorum of Buschke rather than scleroderma (2). I would take issue, however, with several of the arguments adduced by Dr. Capusan in excluding the diagnosis of scleroderma. Particularly, I do not believe that the absence of Raynaud's phenomenon (point 2) can be regarded as crucial, since a small but significant
RODNAN GP. Signorina Galieri's Scleroderma or Scleredema. Ann Intern Med. ;76:673–674. doi: 10.7326/0003-4819-76-4-673_2
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Published: Ann Intern Med. 1972;76(4):673-674.
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