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Chronic Pemphigus and Diabetes. Presented by Dr. H. F. De Wolf.
A. G., a white woman, aged 68, from the service of Dr. H. N. Cole and Dr. J. R. Driver at Cleveland City Hospital, was admitted to the dermatologic service on December 8. The history, given by a son, revealed the onset of mental disturbance in 1915 and the subsequent development of a paranoid state. In 1930 the cutaneous trouble from which she now suffers developed. It has never cleared up, but has never been as severe as at present. The patient was in Windsor (Psychopathic) Hospital from Sept. 8, 1932, to the time of admittance to Cleveland City Hospital. Examination on admission to the hospital revealed pinhead to pea-sized red papules and vesicles and bullae varying in size, some being as large as pecans; these lesions involved the face, arms, buttocks, legs and, to a lesser extent,