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January 1958


AMA Arch Derm. 1958;77(1):131-133. doi:10.1001/archderm.1958.01560010133034

Neurodermatitis (Localized)? Presented by Dr. Clement E. Counter for therapeutic suggestions.

A 5-year-old white girl has had a chronic itching of the vulva for the past four and one-half years.

Previous medical history reveals that the child had "intractable" colic in infancy from the time she was 4 days to 4½ months old. In addition, she had two weeks' fever from infected ears in February, 1956. In February, 1956, there were whitish, rough lesions confluent over the left labium majus and perineum back to the anterior part of the anus. In July, 1956, examination revealed a linear group of lesions on the right labium majus and perineum. The lesions are lichenified papules. In January, 1957, examination revealed keratinous papules on the same area.

Treatment: Before February, 1956, various pediatricians gave various ointments, including Tarcortin, which did not help at all. A former biopsy (1955) led to the diagnosis of

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