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A Case for Diagnosis (Ichthyosis?). Presented by Dr. Paul D. Foster.
N. W., a girl aged 4 years, presents a scaly erythematous eruption that first appeared on the hands and feet eight months ago and then spread to adjacent areas on the arms and legs. The involved areas appear to be exfoliating. The examination of the blood showed: hemoglobin, 74 per cent; erythrocytes, 4,100,000; color index, 0.9; leukocytes, 6,900; polymorphonuclear leukocytes, 35 per cent; lymphocytes, 65 per cent, and blood sugar, 80 mg. per hundred cubic centimeters. The urine was normal. The treatment has consisted of the administration of vitamin A, 75,000 U. S. P. units daily.
Dr. Irving Bancroft: I thought that the eruption was a type of ichthyosis with a superimposed dermatitis.Dr. Julius Scholtz: I suggest a diagnosis of psoriasis with a possible superimposed dermatitis. I have observed several interesting cases in which the microscopic examination