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August 1956


AMA Arch Derm. 1956;74(2):209-213. doi:10.1001/archderm.1956.01550080095019

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Urticaria Pigmentosa. Presented by Dr. A. A. Fisher.

An 8½-month-old boy has had the present eruption since he was about 5 weeks old. At that time it was noted that the skin of the entire body, including the scalp, was diffusely red and studded with yellowish papules intermingled with dusky-red macules and papules.

When seen in May, 1955 (at about 3 months of age), the child was extremely irritable, and all the lesions whealed markedly on friction. The histologic report was "typical urticaria pigmentosa.'' X-ray examination of the bones did not reveal any pathology. The eruption has persisted to date, but the child seems to be less disturbed and the lesions wheal less violently. A physician had prescribed chloral hydrate for sedation.

This patient is presented because of the almost universal involvement of the skin and for therapeutic suggestions.


Dr. A. J. Orfuss: In my opinion the clinical appearance

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