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A Case for Diagnosis (Dermatitis Herpetiformis? Benign Chronic Pemphigus?). Presented by Dr. John B. Ludy, Philadelphia.
B. S., a white girl aged 8½ years, well nourished and mentally bright, presents a symmetric outbreak on various parts of the body, especially where there is friction. Bullae in various stages and of various sizes are present in these locations. Recent lesions are tense and almost globular at times. Eventually they break and crust, leaving reddish persistent stains. The disease had its onset when the patient was 4 years old as blebs at the margin of the left nostril, on the labia majora and the hands, in the axillas and groins and on the neck, feet and legs. It has been present intermittently ever since. Only once have lesions appeared on the mucous membranes. Itching is present but not severe. The child had scarlet fever in November 1942, and since then
Wright CS, Thomas CC. ATLANTIC DERMATOLOGIC CONFERENCE. Arch Derm Syphilol. 1944;49(5):362–373. doi:10.1001/archderm.1944.01510110060018
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