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March 1938


Arch Derm Syphilol. 1938;37(3):527-533. doi:10.1001/archderm.1938.01480090156019

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Polycythaemia Vera. Presented by Dr. George C. Andrews.  G. H., a man aged 45, was seen on May 6, 1937, at which time the face and the scalp were deep red and diffusely studded with papulopustules. The shoulders and a triangular area on the chest presented intense erythema, with multiple papules and pustules. The patient states that he has had polycythaemia vera for twelve years, the erythrocyte count varying from 7,000,000 to 13,000,000. The papulopustules first developed on the face six years ago and slowly spread over the scalp, the chest and the back.Histologic examination of a papulopustule removed from the chest showed only a nonspecific inflammatory reaction about the hair follicle, with large numbers of polymorphonuclear leukocytes.Treatment has consisted of the administration of roentgen radiation in doses of 100 r weekly to the face, the chest and the back for fourteen weeks. The scalp was treated similarly

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