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A Case for Diagnosis (Acrodermatitis Continua [Hallopeau]?). Presented by Dr. John Adams, Boston.
M. A., a white woman, a 41 year old secretary, complains of an eruption intermittently affecting the entire body (exclusive of the face) for eight years. At the onset, the skin at the base of the neck anteriorly became red, and the area enlarged rapidly to cover practically the entire cutaneous surface. Pustular lesions appeared, and painful crusts followed. This eruption was accompanied with a low grade fever, malaise and loss of weight. The first attack lasted three months. Subsequent outbreaks occurred three to six times yearly; each attack lasted two weeks to three months. For the past eight months areas have persisted on her right forearm, wrist and forefinger. Previously, the skin had been normal between these episodes, and the patient had experienced good health.
Examination reveals sharply circumscribed plaques of deeply reddened and thickened skin
Swartz JH, Thurmon FM. NEW ENGLAND DERMATOLOGICAL SOCIETY. Arch Derm Syphilol. 1945;51(6):410–417. doi:https://doi.org/10.1001/archderm.1945.01510240056014
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