Pemphigus Erythematosus. Presented by Dr. Herbert A. Luscombe and Dr. Charles H. Greenbaum.
The patient is a 49-year-old white man who worked in coal mines for 30 years. In February, 1959, he developed erythematous and papular plaques on the chest and back, followed in April by the appearance of exudative and crusting lesions which involved larger areas of the trunk. Treatment with Decadron and topical therapy controlled the eruption fairly well prior to his referral to the presenters in June, 1959. He is well developed, somewhat emphysematous, with evidence of steroid effect. Numerous active erythematous plaques covered with a greasy scale are present on face, trunk, and extremities. There are many pigmented remnants of old lesions. The mucous membranes have been involved in the past. There is striking involvement of a recent herniorrhapy scar in right groin.
In 1959 the serological tests for syphilis were nonreactive. Three L.E.
Shelley WB, Niedelman ML, Nicholas L. PHILADELPHIA DERMATOLOGICAL SOCIETY. Arch Dermatol. 1962;85(3):424–431. doi:10.1001/archderm.1962.01590030122025