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Pemphigus. Presented by Drs. Alfred B. Falk, Stefan Bielinski, and J. Bettenhausen.
In August, 1963, this 45-year-old Negro man developed painful lesions in his mouth which lasted one week. In November three bullae appeared on his scalp. He treated these with home remedies, but within the next week the process spread to involve his entire scalp, face, and nasal and buccal mucosa. During the next several weeks the lesions spread to other areas, and at this time the patient sought medical treatment. The lesions especially involved the intertriginous areas. He is now receiving six tablets of Kenacort daily and tetracycline for the secondary infection which had been quite extensive.Several organisms have been cultured from the skin, namely, Pseudomonas aeruginosa, hemolytic Staphylococcus aureus, coagulase positive, Escherichia coli, and Aerobacter aerogenes.
Urine, complete blood count, serology, and blood chemistries were all within normal limits. Chest x-ray showed minimal emphysema.
CHICAGO DERMATOLOGICAL SOCIETY. Arch Dermatol. 1964;90(3):354–359. doi:10.1001/archderm.1964.01600030104025