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Article
September 1932

PERLÈCHE IN ADULTS: REPORT OF FOUR CASES APPARENTLY DUE TO MONILIA, WITH EXPERIMENTAL OBSERVATIONS

Author Affiliations

KANSAS CITY, MO.

Arch Derm Syphilol. 1932;26(3):451-455. doi:10.1001/archderm.1932.01450030449008
Abstract

Yeasts and yeastlike organisms have been advanced as the cause of a diverse group of diseases. The latest of these is perlèche, for which Finnerud1 has established a strong case. He has been the only one to reproduce the disease experimentally with recovered organisms.

Skolnik2 reported five isolated cases in adults from which cryptococci were cultivated; Becker and Ritchie3 recovered the "thrushfungus" from one of six cases in adults.

Four additional, isolated, consecutive cases in adults from which Monilia was recovered are herein reported.

REPORT OF CASES4

Case 1.—A man, aged 48, sought advice because of trouble with the corners of the mouth of one month's duration. Examination showed bilateral, wedge-shaped, deeply fissured areas of dermatitis. A portion of the process extended over the mucous membranes medially 10 mm. from the commissures; it resembled leukoplakia. The patient's upper teeth had been extracted, but

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