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July 1940


Arch Derm Syphilol. 1940;42(1):159-173. doi:10.1001/archderm.1940.01490130163021

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Cheilitis. Presented by Dr. George M. Lewis.  G. B., a college student aged 25, is presented from the Skin and Cancer Units of the New York Post-Graduate Medical School and Hospital. Inflammation of his lower lip developed eight months ago. Investigation in California and in New York did not reveal any contact, such as with toothpaste or lipstick, which could account for the eruption. He had eleven fractional (75 r) exposures to unfiltered roentgen rays at weekly intervals, various types of local therapy and restricted diets, to eliminate possible food allergens. Cultures failed to demonstrate any pathogenic fungi.The patient presents acute inflammation of the lower lip, with redness, vesiculation and profuse scaling. Many of the vesicles have ruptured. The upper lip is similarly involved but to a less severe degree. Palpation confirms the fact that the inflammation is superficial.

DISCUSSION  Dr. David L. Satenstein: The causative agent might be

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