This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables.
A Case for Diagnosis (Pemphigus Vulgaris? Pemphigus Erythematosus?). Presented by Dr. Howard Fox.
F. G. N., a woman aged 69, was recently seen by me in consultation. The patient was American born, of French and Irish extraction, all of her ancestors having been gentiles, as far as she knew.An eruption appeared for the first time, about one year ago, on the scalp. About two months later it involved the chest and groins. It appeared on the face three weeks ago. It is symmetric and profuse in the aforementioned areas. The lesions on the scalp and trunk consist of flaccid bullae and crusts. On the nose and cheeks, there are red, diffuse areas which suggest the appearance of lupus erythematosus. The patient complains of severe itching, but no scratch marks are present. She shows a decided Nikolsky sign. The mucous membranes of the mouth are not affected. Her general health