Case for Diagnosis: Pemphigus Vulgaris (?).* Presented by Dr. Albert H. Slepyan, Highland Park, Ill.
Mrs. H. H., 62 years old, white, in December, 1949, gave a history of an eruption appearing on her face, chest, and mouth about three weeks prior to being seen. She soon developed a generalized bullous eruption. Bullae were found on normal skin, and the course was afebrile. The diagnosis of pemphigus vulgaris was made. After 13 weeks of hospitalization the eruption subsided except for a few moist coin-sized areas on the scalp and an erosive area on the septum of the nose.
The patient was next seen six months later, with the moist areas on the scalp cleared with evidence of patchy atrophy. There was a persistent and crusting zone on the nasal septum. Mouth lesions were no longer seen.
In March, 1951, the patient presented many crusted and hemorrhagic bullae over both breasts and