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March 1958


AMA Arch Derm. 1958;77(3):368-369. doi:10.1001/archderm.1958.01560030114027

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Case for Diagnosis: Pemphigus Foliaceus; Pemphigus Erythematosus; Subcorneal Pustular Dermatosis? Presented by Dr. Carroll F. Burgoon and (by invitation) Dr. M. A. Lutzner and Dr. Peter Senn.

A Negro man aged 44 showed all areas of the skin involved except the face, genitalia, palms, and soles. Upon admission he presented some new, unruptured, turbid vesicles, 2 to 3 mm. in size. He continued to develop about 10 new vesicles a day before therapy was initiated. He also presented many old lesions, ranging in size from 2 mm. to 1 cm., consisting of circular areas of hyperpigmentation. There was severe itching, with some burning. Six months ago the patient noted a group of vesicles over the anterior thorax accompanied by sensations of itching and burning. The vesicular eruption became generalized in a week. Since then he has noted 10 to 20 new vesicles a day.

The serologic tests

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