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Article
May 1940

PEMPHIGUS FOLIACEUS (FOGO SALVAGEM): AN ENDEMIC DISEASE OF THE STATE OF SÃO PAULO (BRAZIL)

Author Affiliations

Chief of the Service for the Study of Pemphigus Foliaceus SÃO PAULO, BRAZIL

Arch Derm Syphilol. 1940;41(5):858-863. doi:10.1001/archderm.1940.01490110044006

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Abstract

For a number of years physicians practicing in the state of São Paulo, and especially in the city of Franca, reported cases of a rare dermatosis affecting the entire cutaneous surface of each patient and ending in death. The first observations were presented before the Seventh Congress of Medicine and Surgery at Bello Horizonte in 1912 by Ulisses Paranhos and Luciano Gaulberto. Perhaps the thesis of Paes Leme, written in 1902 under the title of "Tokelau," concerned the same condition. Later studies by Lindenberg and Olimpio da Fonseca Filho settled the matter by establishing in a definite manner that this dermatosis is no other than pemphigus foliaceus, popularly known in Brazil as fogo salvagem (wild fire).

In 1937 and 1938 I made a special study of this type of pemphigus and proposed a classification of its clinical variants, ranging from the abortive to the most advanced types. Pemphigus foliaceus may

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