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January 1929


Arch Derm Syphilol. 1929;19(1):152-161. doi:10.1001/archderm.1929.02380190155016

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Acrodermatite Suppurative Continue (Hallopeau). Presented by Dr. Mestre.  L. P., a white man, a Spaniard, aged 50, came to the hospital two and a half years before presentation, suffering from pustular lesions of both hands. These pustules had a tendency toward peripheral invasion, undermining the epidermis and constituting ringlike lesions. Smears from the pus and cultures in different culture mediums have repeatedly shown the absence of micro-organisms and of fungi. At present the palms and all the fingers are affected. The finger-nails have fallen off. The pustules are abundant, recurring on the red, atrophic, shiny skin, and the small joints of the hands had become ankylosed. Treatment had consisted of local applications of antiseptics, x-rays and ultraviolet rays, of intravenous injections of mercurochrome (220-soluble), of the administration of foreign bacterial proteins and arsenic and of autohemotherapy. Pathologic examination showed atrophy of the epidermis, lymphoid infiltration of the papillary layer with

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