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April 1920


Arch Derm Syphilol. 1920;1(4):438-439. doi:10.1001/archderm.1920.02350040075008

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A Jewish girl, aged 22, presented herself, with what I thought was a large wet dressing around her right wrist. On removing it, I found beneath an entirely intact skin. To my surprise I then learned that the gauze dressing, an inch or more thick, was wet solely with perspiration. The sweating area was on the extensor surface of the wrist and on the back of the hand toward the ulnar side. As may be seen in the accompanying illustration this area was from 2½ to 3 inches wide and 5 inches long. It was sharply defined and its location did not vary. The skin was slightly pinkish and sodden. Sensation in it was diminished, but it was otherwise normal. The sweating occurred in almost constantly repeated attacks. A few seconds after the dressing was taken off and the surface wiped dry, minute beads of perspiration began to appear, and