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June 23, 1900


JAMA. 1900;XXXIV(25):1637. doi:10.1001/jama.1900.02460250049014

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Desquamation has been rarely observed in the course of typhoid fever, and then principally in children. It occurs either at the close of the febrile period, or a little later—ten days or two weeks after defervescence. In view of the rarity of its occurrence the report of six cases in adults reported by Remlinger1 among 706 cases, is of especial interest. Perhaps if carefully looked for, the condition would be found more frequently than the references to the subject would indicate. All of the six cases were grave; the fever was prolonged beyond the usual limits, and convalescence was long and difficult. The desquamation appeared as the temperature commenced to fall. The scales were neither furfuraceous nor membraniform, but lamellated, and in character were intermediate between those of measles and those of scarlet fever. The process appeared earliest, and was most marked, on the lateral aspect of the chest

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