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Dermatitis Herpetiformis. Presented by Dr. W. H. Guy and Dr. F. M. Jacob.
D. W., a white woman aged 21, presents a grouped bullous and papular, widely scattered eruption. The eruption is recurrent and is of several years' duration. The patient has been seen by several of the members and is presented for discussion as to treatment.
Dr. Frederick Amshel: I believe that the diagnosis is open to question and that a differential diagnosis should be made between erythema multiforme bullosum and dermatitis herpetiformis. The critical appearance of the eruption suggests erythema multiforme bullosum; however, the history and the distribution of the lesions point to the diagnosis as presented.Dr. Stanley Crawford: Although I agree with the diagnosis of the presenters, I, too, believe that erythema multiforme bullosum must be considered, as there is a small erythematous halo around each bulla. The patient complains of intense burning and itching,
Schmitt CL, Rubenstein MW. PITTSBURGH DERMATOLOGICAL SOCIETY. Arch Derm Syphilol. 1941;43(6):1021–1032. doi:10.1001/archderm.1941.01490240101019