Parapsoriasis Guttata with Varioliform Lesions. Presented by Dr. Paul Gross.
A girl, aged 5 years, is presented from the Vanderbilt Clinic. On Feb. 15, 1960, the patient developed a furuncle on the left thigh. Two weeks later spots developed in the groin and spread to the trunk and limbs. Achromycin was prescribed by her family physician. In April she was seen by a dermatologist who made a diagnosis of parapsoriasis varioliformis. Biopsy was inconclusive.The child was given corticosteroids for 10 days, without change in the eruption. Since then ultraviolet light therapy has constituted the treatment, and the intensity of the eruption has decreased. When she was seen on September 19 the patient presented a widespread eruption consisting of reddish, macular, flat, papular lesions with fine scutular scales on the trunk and flexor surfaces of the extremities. There were also pale, small lichenoid papules, especially on the inner surface of
Dougherty JW, Costello MJ. MANHATTAN DERMATOLOGICAL SOCIETY. Arch Dermatol. 1961;84(4):682–684. doi:10.1001/archderm.1961.01580160146039