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A Case for Diagnosis. Presented by Dr. George van Rhee.
A man, aged 42, born in Poland, a dry cleaner, stated that he had a penile lesion at the age of 21. He presented an eruption of fifteen months' duration, consisting of small crusted nodules on the back, chest, groin and thighs, some solitary and others in serpiginous groups. There was slight scarring. The Wassermann reaction was negative.
Dr. Arthur E. Schiller: The arrangement of the lesions suggests syphilis, but apparently some of them are vesicular. As a spotter in a dry cleaning plant, he handles irritants, which may cause the lesions, or they may be bullous erythema multiforme.Dr. George van Rhee: Vesicles and pustules have developed lately.Dr. Howard J. Parkhurst: The type and distribution of the lesions, the pruritus and the pigmentation favor a diagnosis of dermatitis herpetiformis.Dr. Cyril K. Valade: Pemphigus foliaceus would seem
Parkhurst HJ, Troxell EC. DETROIT DERMATOLOGICAL SOCIETY. Arch Derm Syphilol. 1933;28(2):284–287. doi:10.1001/archderm.1933.01460020138023
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