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Dermatitis Gangrenosa Infantum. Presented by Drs. Guy and Jacob.
A colored child, aged 4 months, presented an eruption of one month's duration, having a predilection for the lower part of the abdomen and the perineum. Scars of healed lesions were scattered irregularly over the entire body, except the face. The active lesions, which began as gangrenous spots or pustular lesions with slough formation, were noted at the time of presentation as numerous, deep, sharply marginated ulcers varying in size from that of a split pea to that of a quarter, and discharging a thin yellowish pus. Several lesions were present on the vulva, one of which still contained the gangrenous plug. The child was also suffering from a phlyctenular keratitis and had a constant temperature of 102 F. Smears revealed ordinary pyogenic organisms. Cultures had been made. The Wassermann test was negative.
Dr. Norris agreed with the diagnosis.Dr. Busman suggested neo-arsphenamin
Phillips HT. PITTSBURGH DERMATOLOGICAL SOCIETY. Arch Derm Syphilol. 1925;12(2):299–303. doi:10.1001/archderm.1925.02370080145017