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February 1929


Arch Derm Syphilol. 1929;19(2):318-323. doi:10.1001/archderm.1929.02380200146014

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Purpura. Presented by Dr. Pardo-Castello.  A colored woman, aged 24, complained of headache and sore throat one week before presentation, almost immediately numerous petechiae scattered all over the body, small papular and vesicular lesions and epistaxis appeared. The stools were bloody. There was a rise in temperature, which ranged between 38 and 39 C. (100.4 and 102.2 F.). At the time of presentation the patient was in a state of profound sepsis, with delirium and high fever. The mouth was partly open from which exuded serohemorrhagic fluid; the lips were enormously swollen and covered with bloody crusts. Petechiae and ecchymosis were abundant, particularly on the face and chest. The Wassermann reaction was negative. The blood count showed: red blood cells, 5,358,000 white blood cells, 7,100; polymorphonuclears, 63 per cent; lymphocytes, 25.5 per cent; mononuclears, 9.5 per cent; basophils, 1 per cent; eosinophils, 0.5 per cent and Turk's cells, 0.5 per

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