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December 1951


AMA Arch Derm Syphilol. 1951;64(6):794-798. doi:10.1001/archderm.1951.01570120129020

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Epidermolysis Bullosa Acquisita. Presented by Dr. Abraham J. Orfuss.  F. F. T., a Negro aged 41, has had a cutaneous eruption since 1943. He was discharged from military service because of bullous lesions over pressure points which were painful and incapacitating. From 1943 to 1948 he had alternating periods of complete remission and severe recurrences. Since 1948 he has been hospitalized on four occasions for varying lengths of time. With rest and bland care the lesions heal, only to recur shortly after the patient is discharged. He works as an elevator operator and manages to wear well-padded protective gloves. There is no history of similar skin lesions in other members of the family. About one year ago the patient had a fractured mandible; recovery was uncomplicated.Findings from general physical examination were normal except for a prominent right eyeball with a larger and irregular pupil. Reaction to light and

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