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Urticaria Pigmentosa (Xanthelasmoidea). Presented by Dr. Maurice J. Costello for Dr. Howard Fox.
S. R., a girl aged 2 months, has a generalized eruption on the scalp, face, trunk, and extremities, consisting of pea- to bean-sized reddish macules with considerable infiltration underneath. No scratch marks are visible, although she has long fingernails. The mucous membranes are not involved. The temperature is normal. She has gained 1½ lb. (680 gm.) since birth (at one month). The blood cell count, including the eosinophile count, is normal. The infant is breast fed, and the mother is taking no medication. Indurated bullae were present at birth.
The mother had influenza during the first trimester of pregnancy but took no medication. She took one vitamin pill daily from the sixth month of pregnancy until the birth of the baby, two weeks prematurely. She also took about 50 aminochloride pills six weeks before delivery. Her
Andrews GC, Machacek GF. NEW YORK DERMATOLOGICAL SOCIETY. AMA Arch Derm Syphilol. 1954;69(5):630–635. doi:10.1001/archderm.1954.01540170100023