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The following record is that of a patient recently seen in the outpatient clinic of the John Sealy Hospital.
REPORT OF A CASE
G. S., a woman physician aged 30, seen first on Jan. 2, 1941, presented a papulosquamous eruption of one day's duration on the trunk and extremities. It was typical of pityriasis rosea. The "herald plaque," of ten days' duration, was present on the left breast. The eruption extended below the elbows to the wrist, and both palms showed numerous sago-like vesicles. There were no vesicles on the soles. The patient stated that the vesicular lesions on the palms appeared two days before the eruption on the body. Examination of the tops of the vesicles showed no mycelia or Acarus scabiei. The Wassermann reaction of the blood was negative, and the blood count showed nothing of significance. The eruption cleared in three weeks after treatment with ultraviolet radiation
Spiller WF, Ritchie EB. PITYRIASIS ROSEA WITH VESICULAR LESIONS ON THE PALMS. Arch Derm Syphilol. 1941;44(2):258–259. doi:10.1001/archderm.1941.01500020113014
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