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December 1928


Arch Derm Syphilol. 1928;18(6):970-981. doi:10.1001/archderm.1928.02380180167021

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Pemphigus (Unusual Type). Presented by Dr. Ormsby.  A man, aged 46, had been under observation and treatment for ten years prior to presentation. This case was the first of its type to be demonstrated and recorded. The activity of the disorder varied. On presentation in January, 1926, practically no active lesions were present, but an exacerbation had been going on for two months.The lesions on the face were distributed in the butterfly area, as in lupus erythematosus and consisted of well defined erythematous patches with superimposed sebaceous crusts. On the chest and back were dull red macules, ranging in size from that of a pea to that of a thumb nail, covered with brown, greasy crusts and scales. Two or three subsiding bullae were also present. The scalp was covered with greasy, yellowish, adherent scales, most marked in the temporal regions. The picture was identical with that ten years before except that the degree of activity was greatly reduced.

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