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Pemphigus Foliaceus. Presented by Dr. Abraham Walzer.
A. F., a married man aged 40, first presented himself a few days ago with an eruption of two years' duration. There was nothing in his past history of significance. The eruption began with a number of flaccid bullae on the chest. Gradually many new bullae developed on other parts of the body, which ruptured and crusted, eventually involving the entire body.
He has been seen by many dermatologists and has been confined in a city institution for four months. He has received many intravenous and intramuscular injections, roentgen and ultraviolet irradiation and numerous forms of medication by mouth. Examinations of the blood and urine revealed nothing abnormal.
Now the rash involves the entire body, face and extremities. It consists of large masses of moist scales and thin crusts, which are easily removed, exposing a red, weeping surface. There is no sound skin