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Pemphigus Vulgaris (Vegetans). Presented by Dr. M. H. Samitz and (by invitation) Dr. M. S. Greenberg, Dr. J. Coletti, and Dr. J. German.
R. D., a white man aged 57, about March 1, 1951, noted lesions first on the buccal mucous membranes and later on the tongue and on the roof of the mouth. In July, 1951, an eruption appeared on the shoulders, which progressed to involve the arms, legs, trunk, and face.
In August, 1951, the mouth was the site of many large, eroded, macerated lesions and the lips were swollen and eroded. On the trunk, arms, legs, and face many bullae and eroded lesions were present. A vegetative crusted lesion was found on the right arm.
Urinalyses gave essentially normal results. Blood cell counts showed erythrocytes ranging from 3,700,000 to 5,640,000 and leucocytes from 9,200 to 12,700. The eosinophile chamber counts were 313 and 231 per cubic millimeter.
Twining HE, Shaffer B. PHILADELPHIA DERMATOLOGICAL SOCIETY. AMA Arch Derm Syphilol. 1952;66(6):764–766. doi:10.1001/archderm.1952.01530310102016
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