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May 1941


Arch Derm Syphilol. 1941;43(5):870-887. doi:10.1001/archderm.1941.01490230110020

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Acrodynia. Presented by Dr. R. A. Stewart (by invitation).  M. K., a white girl aged 16 months, was first seen in the pediatrics ward of the University of California Hospital on Aug. 23, 1940. She had had red, blistered, pruritic hands and feet for seven months. Apathy, weakness and limpness were also noted. Physical examination showed a deep crusted ulcer on the right side of the upper lip and on the right cheek. This had been present for two months. The dietary history was not remarkable. The pulse rate was 150 per minute; the blood pressure was 128 systolic and 75 diastolic, and the muscle tone was extremely poor. Rhonchi were heard throughout the chest.The value of hemoglobin at the time of entry was 64 per cent; it now is 75 per cent. The leukocyte count has varied from 17,200 to 24,700; the differential count has been normal. At

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