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August 1951


AMA Arch Derm Syphilol. 1951;64(2):238-246. doi:10.1001/archderm.1951.01570080122031

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Dermatitis Herpetiformis (Atypical) Treated with ACTH (Wilson). Presented by Dr. Alexander A. Fisher and (by invitation) Dr. Gordon Sauer and Dr. Daniel Hackbarth.  I. H., a white woman aged 52, has had a generalized eruption since 1938. It was variously diagnosed as neurodermatitis, exudative lichenoid and discoid dermatosis, and, finally, neurodermatitis. She has received therapy with arsenic, aureomycin, x-rays and sulfapyridine, with no essential effect. Raynaud's disease developed in 1947 but is under control now. The patient has had hypertension for many years.The sedimentation rate was 33 mm. per hour. Chemical examination of the blood revealed normal values for sugar, sodium, potassium, and nonprotein nitrogen. The stools were negative for cysts, ova, and parasites. The Fishberg concentration test and roentgenograms of long bones revealed no abnormal findings. Examination of the sternal marrow showed eosinophilic hyperplasia. Histologic examination of a muscle showed no abnormalities.Histologic examination of a skin

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