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A Case for Diagnosis (Allergic Eruption?). Presented by Dr. Thomas N. Graham.
H. D., a white man aged 68, was first seen by me on Feb. 28, 1944. He complained of a generalized itching eruption of two months' duration. There was no history of ingestion of drugs or of allergy.
There were numerous erythematous, papular, discrete and confluent lesions, many of which presented a distinctly urticarial appearance. General physical examination showed only dental caries. The Wassermann reaction of the blood was negative. Dental roentgenograms showed abscessed teeth. The urine was essentially normal.
After removal of the infected teeth, the eruption flared up slightly and then practically disappeared, but only for about two weeks. Subsequent therapy with calcium, dilute hydrochloric acid and elimination diets failed to produce any appreciable improvement. Within the past few weeks a few of the lesions have become scaly and somewhat resemble
Montgomery RM, Miller JL. METROPOLITAN DERMATOLOGICAL SOCIETY. Arch Derm Syphilol. 1945;52(5):425–427. doi:https://doi.org/10.1001/archderm.1945.01510290130030
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