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Dyshidrotic Eczema? Pustular Psoriasis? Allergic Eczema of the Hands? Presented by E. William Jewell, MD.
The patient, a 16-year-old white girl, comes from a family with eight children, all of whom have had some eczema; her mother has had hayfever and her father migraine headaches. The patient had severe eczema as an infant and was first seen with an eczematous eruption on the left foot when she was 12 years old. After a period of time she responded to intralesional injections with steroids. In the spring of 1962 her hands became broken out for the first time.Initial treatment consisted of application of various steroid ointments such as one containing hydrocortisone and terramycin (Terra-Cortril), one containing hydrocortisone acetate, calcium undecylenate, and neomycin sulfate (Caldecort), and fluocinolone acetonide (Synalar), with negligible improvement. Reactions to intradermal tests to foods have been negative or 1+ in most foods except cantaloupe,
METROPOLITAN DERMATOLOGIC SOCIETY OF NEW YORK. Arch Dermatol. 1967;95(6):658-660. doi:10.1001/archderm.1967.01600360104019