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Erythema (Bullous Multiform). Presented by Dr. M. H. Ebert and Dr. B. B. Beeson.
This Negro, aged 43, entered the Cook County Hospital on March 28, 1934, with a history of blisters on the backs of the wrists, which were spreading to the forearms and hands. At that time he presented a rapidly spreading bullous eruption, with one small erosion on the hard palate. The bullae were large and appeared on apparently normal skin. The Nikolsky sign was not elicited, and there was generalized adenopathy. He had had a temperature of from 100 to 105 F.A differential white blood cell count showed: polymorphonuclears, 44 per cent; lymphocytes, 34 per cent, and eosinophils, 22 per cent.In the past few days the condition has improved considerably, and the patient now presents large, crusted erosions on the dorsa of the hands, fingers, wrists, elbows, knees, ankles and feet. The neck and
Wien MS, Mitchell JH. CHICAGO DERMATOLOGICAL SOCIETY. Arch Derm Syphilol. 1934;30(5):754–757. doi:10.1001/archderm.1934.01460170146020