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Vitiligo with Superimposed Pellagra. Presented by Dr. Douglass A. Decker, Allentown, Pa.
J. M., a white man aged 44, presents typical vitiligo on the face, ears, arms and chest. On the face, ears, chest and dorsa of the hands and fingers there is a symmetric erythema associated with atrophy and irregular areas of hyperpigmentation. The condition has been present for four years, always occurring in the summer and disappearing in the winter. All but the vitiligo disappeared while the patient was treated in the hospital with a high vitamin diet. Five blood counts were normal. The Wassermann reaction of the blood was negative. A roentgenogram of the bony thorax and of the lungs was normal. Histologic examination showed mucinoid degeneration of the corium accompanied by erosion of the epidermis. There was no histologic evidence of lupus erythematosus.
Dr. Frank C. Knowles: I believe that the condition in this case
Klauder JV, Beerman H. PHILADELPHIA DERMATOLOGICAL SOCIETY. Arch Derm Syphilol. 1940;41(3):625–632. doi:https://doi.org/10.1001/archderm.1940.01490090177025
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