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May 1959


AMA Arch Derm. 1959;79(5):603-607. doi:10.1001/archderm.1959.01560170101024

A Case for Diagnosis and Suggestions for Treatment (Erythema Multiforme? Dermatitis Herpetiformis?). Presented by Dr. Maurice J. Costello.

A girl aged 18 months has had a generalized, pruritic eruption of almost four months' duration. The mother is allergic to penicillin; she had one episode of urticaria after the birth of a child three years ago and what sounds like angioneurotic edema 10 years ago, which lasted for one month.

The patient was normal at birth, but at the age of 2 months she had infected tonsils which responded to the mycins. An otolaryngologist felt that the tonsils should be removed but that she was too young. They have been normal ever since. In October, the patient was given a "flu" shot, and 10 days later an urticarial eruption developed. Her pediatrician prescribed elixir of pyribenzamine, but there was no improvement. The urticarial lesions began to form circles

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