Since the work of Lemaistre, Sabouraud and later investigators, streptococci have been accepted as the causative organisms of perléche.
In a recent article, Finnerud1 has reported a series of 100 cases and proved conclusively that the disorder in this series was of mycotic origin. The organisms isolated were Fungi imperfecti of Cryptococcus and Monilia genera. All of his cases were in children who lived in a single orphange.
The cases herein reported are isolated instances of the disorder as it is seen occurring in its chronic form in adults, the youngest patient being 40 years old, and the shortest duration being three years.
All the patients presented practically the same type of lesion (fig. 1). These occurred at both angles of the mouth and varied from 7 to 12 mm. in length. All were roughly wedge-shaped, fissured in their long dimension and showed slight maceration and thickening. There was
SKOLNIK EA. PERLECHE OF ADULTS: A REPORT OF FIVE CASES APPARENTLY OF MYCOTIC ORIGIN. Arch Derm Syphilol. 1930;22(4):642–646. doi:10.1001/archderm.1930.01440160040007
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