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January 1954


AMA Arch Derm Syphilol. 1954;69(1):124-129. doi:10.1001/archderm.1954.01540130126020

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Case for Diagnosis (Contact Eruption Caused by Denture? Bullous Lichen Planus? Erythema Multiforme? Pemphigus Vulgaris?). Presented by Dr. Maurice J. Costello.

C. McI., a 66-year-old woman of Irish birth, has had a vesiculobullous eruption confined to the hard palate for the past two months. The eruption consists of two elements: The portion just posterior to the upper teeth is made up of thick-walled closely aggregated pinhead-sized and larger vesicles. Proximal to this is an eruption consisting of 8 or 10 larger thin-walled ruptured bullae, with denuded epidermis and pellicle-like fringes. Cortisone had no effect on the eruption.

The Wassermann reaction of the blood is negative, and complete blood cell count and urinalysis are normal. She has been taking Alophen (contains aloin, extract of belladonna, ipecac, and phenolphthalein) pills for years, but the elimination of their use did not influence the eruption. A course of oxytetracycline (Terramycin) was of no avail.

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