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September 1961

Persistent Denudation of the Scalp in Cicatricial Pemphigoid: Treatment by Skin Grafting

Author Affiliations


Associate Clinical Professor of Dermatology, University of Illinois College of Medicine, Dr. Adolph Rostenberg, Chairman (Dr. Slepyan); Professor of Clinical Dermatology, Tulane University (Dr. Burks); Clinical Assistant of Dermatology, University of Illinois College of Medicine (Dr. Fox).

Arch Dermatol. 1961;84(3):444-451. doi:10.1001/archderm.1961.01580150090015

Two unusual, striking, and puzzling cases of persistent denudation of the scalp have been followed for 5 and 10 years respectively by 2 of us (A. H. S. and J. W. B.). The first patient was presented before the Chicago Dermatological Society in February, 1955, as: "A Case for Diagnosis— Pemphigus Vulgaris?"1 This led to the comparative study of the second such extraordinary clinical manifestation.

The diagnosis of pemphigus is often made only after enough time has elapsed to complete the characteristic picture. Senear2 has pointed out the effectiveness of certain well-accepted criteria for diagnosis in certain cases. When the disorders of the pemphigoid group are added to the differential problem, however, the dilemma becomes compounded.

The present report concerns 2 cases of cicatricial pemphigoid. Both patients displayed massive nonhealing erosive lesions affecting the major portions of the scalp.

Report of Cases 

Case 1.—  A 56-year-old white woman

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