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A Case for Diagnosis. Presented by Dr. H. N. Klein, St. Paul.
A woman, aged 71, was first seen about 6 weeks ago with cutaneous lesions of three months' duration. There were small miliary-like lesions in the mouth, especially around the gums and lower lip, which were edematous and painful to touch, and bled freely when the slightest friction was applied. The patient has had only ultraviolet therapy. Her condition was first thought to be miliary tuberculosis, but the results of an examination of the lungs were negative so far as active lesions were concerned.
Dr. J. F. Madden, St. Paul : In view of the negative findings for tuberculosis and the associated bullae arising from apparently normal mucous membrane of the palate, a diagnosis of pemphigus must be considered. In order to rule out or to substantiate that diagnosis, I would send a specimen of blood to Dr.
Turnacliff DD, Boreen CA. MINNESOTA DERMATOLOGICAL SOCIETY. Arch Derm Syphilol. 1931;24(5):882–884. doi:10.1001/archderm.1931.01450010894015
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