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A Case for Diagnosis (PemphigusVegetans?). Presented by Dr. F. D. Weidman.
A. F., a woman, aged 40, on admission to the Philadelphia General Hospital had a temperature ranging between 102 and 105 F., and complained of chills and sore throat. The tongue was swollen and red, but a false membrane was not present. There were moist ulcerative and erosive areas in the axillae and around the umbilicus and genitalia. Those around the genitalia definitely resembled mucous patches. There was an extreme grade of paronychia affecting several fingers of both hands. Four days after admission a universal, dusky, morbilliform exanthem appeared, succeeded by a few petechiae the next day. In four or five days the latter eruption regressed pari passu with the fever.
The results of blood culture and of the Wassermann test were negative ; the red blood cells were slightly reduced ; polymorphonuclears numbered 3,600. Vincent's organism was found in