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July 1957


AMA Arch Derm. 1957;76(1):123-125. doi:10.1001/archderm.1957.01550190127035

Nov. 14, 1956

Pityriasis Lichenoides et Varioloformis Acuta. Presented by Dr. J. L. Cohen (by invitation).

The patient is a 27-year-old white man. Two weeks ago he developed an eruption manifested by the sudden appearance of reddish macules, which became generalized. The primary locations were both axillae and groins. This rash was ushered in with moderately severe constitutional signs of fever, malaise, and the general symptoms of a systemic infection. The eruption then spread in crops to involve the torso and the mucous membranes of the mouth, the eyelids, and the external genitalia. Within a few days the lesions became papular and vesicular. Some of these lesions then became papulonecrotic. No scarring was visible. A general adenopathy was present. The lesions appeared to be symmetrically distributed and seemed to follow the lines of cleavage.

The blood serology was negative; white blood cells were 14,000 per cubic milimeter, and the

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