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Pityriasis Rubra Pilaris. Presented by Dr. Maurice J. Costello.
A man aged 69, of Italian descent, has a generalized eruption of three months' duration. Initially, the patient burned his head on a very hot pipe, and the blisters were subsequently broken by another blow on his head. Two weeks later an eruption appeared which looked like a red, peeling sunburn. He sought medical aid and was given two injections of penicillin. After three days the eruption spread to the face and neck. He was then given cortisone, after which the eruption progressed to his waist and later involved his whole body. The hands, legs, and feet were greatly swollen, and scaling continued.
After six weeks of cortisone therapy the eruption cleared from head to waist, but the extremities were still involved. The patient began to have stomach pains and nausea, and the cortisone was discontinued.
Machacek GF, Costello MJ. NEW YORK DERMATOLOGICAL SOCIETY. AMA Arch Derm. 1957;75(2):304–306. doi:10.1001/archderm.1957.01550140148035
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