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A Case for Diagnosis. Presented by Dr. Stokes.
A woman, aged 24, single, had an eruption of three years' duration which had been treated as psoriasis. The elementary lesion was apparently a miliary pustule (follicular?), with peripheral extension to a pansy-shaped lesion, peripherally bullous or vesicopustular, with a hard, dry central crust. Healing usually occurred without but sometimes with slight scarring. The eruption had been limited to the flanks, back and axillae, but recently it had appeared on the abdomen. The patient also had epidermophytosis of the toes, with a questionable involvement of the anal cleft and axillae.The Kolmer reaction on the blood had been repeatedly negative; the results of the Kahn test was O11 on two occasions. Bacteriologically, Staphylococcus citreus was found.The eruption had responded temporarily to roentgenotherapy (10÷5 treatments, the last of ¼ HSD each). It had cleared once under treatment with vaccine of Staphylococcus citreus
MacKee GM. AMERICAN DERMATOLOGICAL ASSOCIATION. Arch Derm Syphilol. 1927;16(5):630–662. doi:10.1001/archderm.1927.02380050094010
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