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April 22, 1944


JAMA. 1944;124(17):1220. doi:10.1001/jama.1944.02850170056021

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To the Editor:—  This communication is in reference to the article on "Immediate Care of the Newborn in Relation to Neonatal Mortality," by Ralph M. Tyson, M.D., which appeared in The Journal, February 5.In the section on skin infections he recommends that a 5 per cent lotion of sulfathiazole be applied freely. "Exposure to ultraviolet radiation at a close distance is helpful." Many dermatologists are seeing eruptions following the external use of sulfonamides in various vehicles. Many of us believe that their use is being overdone. This applies particularly to impetigo, in which ammoniated mercury is still preferred.The sulfonamides are apt to produce sensitization just as much as and more so than ammoniated mercury. The sulfonamide compounds also sensitize the skin to the sun and I strongly advise against the concurrent use of ultraviolet rays that the author suggests—not only in impetigo but also in the treatment of

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