Pemphigus Erythematodes. Presented by Drs. Abraham J. Orfuss and Rafael Andrade.
For the past six months, a 6-year-old girl has had a constantly increasing number of persistent blisters and crusts on the scalp, chest, back and, to a lesser extent, on the extremities. There are no oral or vulval lesions.The patient has had no recent illnesses or operations. Aside from the usual childhood diseases her health has been and remains good.A biopsy performed elsewhere was read as a "vesicular reaction that is not diagnostic."Prior treatment has consisted of administration of sulfapyridine, tetracycline, solution of potassium arsenite and glucocorticoids. There was improvement with steroid therapy, but recurrence when dosage was lowered.Examination now shows a child with crusts and scales on the scalp, behind the ears, and on the chest, back and extremities. Among the crusts, there are discernible vesicles that arise upon normal
DERMATOLOGIC SOCIETY OF GREATER NEW YORK: (Formerly the Bronx Dermatological Society). Arch Dermatol. 1965;92(3):337–344. doi:10.1001/archderm.1965.01600150127030
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