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September 1929


Arch Derm Syphilol. 1929;20(3):418-421. doi:10.1001/archderm.1929.01440030144019

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A Case for Diagnosis. Presented by Dr. Fisher.  Mrs. B., aged 39, said that large vesicles and bullae had suddenly appeared on the back of her left shoulder five weeks previous to presentation. There had been no pain or itching. New vesicles had continued to appear for three weeks, arising from apparently normal skin. Many small and medium coin-sized superficial crusted ulcers persisted, the affected area being about 12 cm. in diameter.

DISCUSSION  Dr. Parkhurst: The localization is suggestive of zoster, even in the absence of subjective symptoms. However, the lesions may be factitial.Dr. Littman: I agree to a diagnosis of zoster.Dr. Netherton: It may be zoster, but there was no pain and the bullae were rather large. The present lesions suggest dermatitis factitia.

Extensive Secondary Syphilid. Presented by Dr. Cole and Dr. Driver.  Mrs. F. G., a white woman, aged 34, presented a generalized small macular eruption

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