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Pemphigus Vulgaris. Presented by Dr. H. J. Templeton, Oakland, Calif.
J. L., an American-born Jew aged 43, noted soreness in his mouth about one year ago. This was tentatively regarded by his physician as trench mouth. About six months ago a lesion appeared over the left pectoral region, which was regarded as a local infection. It still persists.About two months ago the patient was given three injections of 0.6 Gm. of neoarsphenamine and about 100 tablets of sulfanilamide for the oral and cutaneous lesions. The administration of the neoarsphenamine was followed by chills and a temperature of 104 F., which disappeared in three or four days. Shortly afterward "blisters" appeared on his hands and feet.The patient's general health has always been excellent. Complete physical examinations by two internists disclosed nothing noteworthy except two abscessed teeth, which have been extracted recently. Streptococcus viridans was cultured from the pulp of