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November 1965


Arch Dermatol. 1965;92(5):589-592. doi:10.1001/archderm.1965.01600170105022

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Benign Mucous Membrane Pemphigoid. Presented by Dr. R. J. Rowe. 

History.—  The patient, a 65-year-old white woman, was first seen on June 11, 1962. At that time she had been having trouble with her eyes, mouth, genital area, and nails for about three years. She had also noted fatigability and had lost 15 pounds during this period.

Examination.—  The patient showed dyskeratosis of finger and toenails, erosions in mouth, and scarring in her vulvar area. The left eye showed erythema of conjunctiva plus necrotic patches inferiorly. The cornea was clear, the superior tarsal conjunctiva was also thickened and inflamed with some maceration of the epithelium. The right eye showed almost total symblepharon with patches of erosion, a grayish cornea that was dull with irregular pannus, and several small vesicles on cornea. Except for these findings she was in good health at that time.

Course.—  Since the time of examination she

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