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January 1934


Author Affiliations

White Plains, N. Y.

Arch Derm Syphilol. 1934;29(1):104. doi:10.1001/archderm.1934.01460070107009

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A physician, aged 33, complained of an eruption which, for about seven months, had involved the fingers of both hands. Examination revealed a vesiculopustular type of eruption, with considerable scaling about the older lesions, and several small fissures on the flexor surface of the fingers of the right hand.

The lesions apparently went through a cycle: from small and at times grouped vesicles, accompanied by severe itching, they changed to broken-down, exudative papules, and, after a week or ten days, to dry, scaly and at times fissured areas.

A diagnosis of dermatophytosis was made. Examination of the feet disclosed moderate scaling and maceration between the toes, especially between the third and fourth on each foot, and a few scattered vesicles on the soles.

Examination of the feet and hands for tinea repeatedly gave negative results.

In spite of the negative results of examinations, the usual routine treatment for dermatophytosis was

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