Feb. 5, 1957
Case for Diagnosis: Dermatitis Herpetiformis? Presented by Dr. Maurice J. Costello for Dr. Joseph I. Singer.
Patient: A white girl, age 91/2 years.
History: First examined Nov. 27, 1956, for a progressive vesicular eruption of the face of one month's duration. Slight pruritus present. Had been using Terracortril ointment without improvement. Past medical history was negative except for a suspected sulfonamide sensitivity. Family history negative.
When she was first seen there was a severe vesicobullous eruption on the forehead, cheeks nose, and ears. Some of the lesions were clustered or annular and on a noninflammatory base. Erosions were also present.
Biopsy: Not performed.
Laboratory data: Microscopic examination of bulla wall and culture were negative for fungi. CBC (Jan. 2, 1957): RBC—4,670,000; HB—86.1%; WBC—8000 (polymorphonuclears 53%, no stab forms; lymphocytes 42%; monocytes 3%; eosinophiles 2%).
Urine: Negative except for 1-2+ cells per HPF.
Culture of bulla
NEW YORK ACADEMY OF MEDICINE, SECTION OF DERMATOLOGY AND SYPHILOLOGY. AMA Arch Derm. 1957;76(4):519–528. doi:10.1001/archderm.1957.01550220127023
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