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Article
October 1945

PHILADELPHIA DERMATOLOGICAL SOCIETY

Author Affiliations

Chairman; Secretary May 19, 1944

Arch Derm Syphilol. 1945;52(4):293-299. doi:10.1001/archderm.1945.01510280077021

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Abstract

Fungous Infection of the Back of the Neck. Presented by Dr. Thomas Butterworth, Reading, Pa.

J. H., a white boy aged 15, presents an arciform ridge containing vesicopustules at the edge of a whitish plaquelike scar about 2.5 cm. in diameter on the right nuchal region. A small active papule is situated nearby, where several other whitish plaquelike scars are present. The disease began about September 1939, as a small, nodular lesion on the right nuchal region, like an "infected hair." Tuberculin patch and intradermal tests gave negative results. The Kolmer and Kahn reactions of the blood were negative. Examination of potassium hydroxide preparations of hairs showed many spores and a few hyphae. Culture for fungi showed no growth after thirteen days. The patient has been treated with 12 per cent iodine in hydrous wool fats, equal parts of phenol and camphor, anthralin ointment (0.5 per cent), ointment

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