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October 4, 1941

Novas contribuições ao estudo do pênfigo foliaceo (fogo-selvagem) no estado de São Paulo

JAMA. 1941;117(14):1219-1220. doi:10.1001/jama.1941.02820400077035

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Endemic in certain regions of Brazil is a pemphigoid disease designated pemphigus foliaceus because of its dermatologic features and known by the natives as fogo-selvagem (wild fire) because of its subjective accompaniment of burning. Vieira published a study of this entity in 1937 and the present monograph summarizes comprehensively his observations up to date. Written in Portuguese with a French translation appended, the text is supplemented with numerous illustrations of cases, reproductions of roentgenograms, photomicrographs, maps of distribution of the disease and statistical tables. Despite identity of name and likeness of morphology, the South American disease is probably different from the pemphigus foliaceus familiar to dermatologists in this country—the "classic" form described nearly a century ago by Cazenave. Evidence points to an infectious agent in the etiology of fogo-selvagem, and Vieira's epidemiologic studies suggest that a species of mosquito and possibly also certain insect parasites of indigenous bats are deserving

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