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Society Transactions
April 1962


Arch Dermatol. 1962;85(4):570-572. doi:10.1001/archderm.1962.01590040134033

Exfoliative Psoriasis. Presented by Dr. John H. Epstein and Dr. Alan M. Massing (by invitation).  A 40-year-old woman had a history of psoriasis since she was 12 years old. Originally it was localized to her scalp and back. Since 1952 she has had generalized exfoliation. She has been treated with several courses of methotrexate and oral corticosteroids without complete clearing or remission. She was recently hospitalized for 6 weeks. During the hospitalization she required a dilatation and curettage for menorrhagia. It was necessary to increase her corticosteroids to 32 mg. of triamcinolone and 120 units of corticotropin gel daily. During this period her eruption improved, although there was considerable hyperpigmentation. However, she developed severe mental disturbances, and the medications were gradually reduced. She was discharged on zinc corticotropin 30 units daily, mentally balanced, but with a return to the exfoliating state and with arthritic symptoms. She has a generalized reddened,

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