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PHILADELPHIA DERMATOLOGICAL SOCIETY
Waine C. Johnson, MD, Recorder
Pityriasis Rubra Pilaris. Presented by Eugene Van Scott, MD, David Grekin, MD
A 58-year-old man developed an erythematous eruption on his face in August 1973. The eruption gradually spread and, within several months, involved his entire body. On examination, there was a generalized erythoderma with several discrete areas of relatively normal skin (Fig 1). The palms (Fig 2) and soles showed hyperkeratosis with fissuring.A complete blood cell count, bone marrow examination, liver scan, and a blood chemistry study with an automated multiple analysis system were within normal limits. A biopsy specimen of the liver showed fatty changes and fibrosis. A biopsy sample of the skin was suggestive of chronic dermatitis consistent with pityriasis rubra pilaris. The patient had been treated with topically applied and systemically
Society Transactions. Arch Dermatol. 1976;112(10):1485-1487. doi:10.1001/archderm.1976.01630340091039