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December 31, 1960


JAMA. 1960;174(18):2236-2237. doi:10.1001/jama.1960.03030180056020

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To the Editor:—  Saslaw, Kluck, and Prior reported in The Journal, July 16, page 1214, in their paper entitled "Varicella Bullosa," 3 cases of a polymorphic bullous eruption which appeared after exposure to chickenpox. The affected children were 11, 14 and 17 months respectively. Body temperatures ranged from 101.4° to 104.0° F. (38.5° C. to 40.0° C.). The white blood cell count was 8,900 to 12,000, with a roughly normal differential count. Lesions healed in 2 weeks "with no more scarring than is found in the average case of chickenpox." Striking was the lack of the usual mucosal involvement in all 3 cases. Cultures of blister fluid were negative for bacteria in 2 fresh lesions but yielded Staphylococcus aureus on an eroded surface.The authors, in differentiating the reaction from "pemphigus acutus," state that "the bullae of pemphigus have a thicker epidermal covering than those of varicella bullosa which allows

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