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March 1939


Arch Derm Syphilol. 1939;39(3):542-545. doi:10.1001/archderm.1939.01480210157022

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Exfoliative Dermatitis with Lymphatic Leukemia. Presented by Dr. F. T. Becker and Dr. M. A. Nicholson, Duluth, Minn. (by invitation).  Mrs. O. M., aged 49, first had a pruritic papular eruption in the spring of 1934. At that time no diagnosis could be made. Physical examination showed an elevation of blood pressure to 170 systolic and 90 diastolic. Renal glycosuria was present and was controlled by diet. At this time the white blood cell count was 6,000 per cubic millimeter. The differential count showed polymorphonuclear leukocytes, 55 per cent; large lymphocytes, 14 per cent; small lymphocytes, 18 per cent; monocytes, 3 per cent; eosinophils, 6 per cent, and immature lymphocytes, 4 per cent. The dermatitis persisted without a great deal of change.In November 1935 the gallbladder was removed. During convalescence thrombophlebitis developed. The cutaneous eruption became progressively worse and nearly universal. Just prior to menstruation the skin would become

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