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A Case for Diagnosis and Suggestions as to Treatment (Pemphigus?). Presented by Dr. C. Guy Lane, Boston.
This woman, aged 48, states that two months before entry to the hospital blotches developed on the inner aspect of the thighs and spread to the abdomen and back. The appearance of the lesions was preceded by a few days of malaise. Daily chills and sweating accompanied the eruption. One week before entry her mouth became so sore that eating was uncomfortable. Four days before entry a new crop of lesions appeared. There are generalized erythematous urticarial lesions varying from small blisters to lesions 2 cm. in diameter and larger. The larger plaques show central depression with rounded borders. Where the bullae have ruptured there are now weeping red spots, which heal to form flat pigmented spots.Laboratory tests showed 12,900 white blood cells, with a differential count of 66 per cent polymorphonuclear
Burns FS, Appel B. NEW ENGLAND DERMATOLOGICAL SOCIETY. Arch Derm Syphilol. 1939;40(1):102–121. doi:10.1001/archderm.1939.01490010105018
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