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October 1966


Arch Dermatol. 1966;94(4):524-525. doi:10.1001/archderm.1966.01600280142024

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Pemphigus Erythematodes in a Child: Follow-Up Presentation 14 Months Later. Presented by Dr. A. Orfuss, Dr. R. Andrade, and Dr. M. Petratos.  Original presentation of this patient was in February 1965, and the case is recorded in the Society Transactions of the Archives of Dermatology (92:337 [Sept] 1965).The patient is a white girl, now aged 7 years, who was first seen 14 months ago for a bullous eruption. During hospitalization the diagnosis of pemphigus erythematodes was established by biopsy and Tzanck smears. Treatment with chloroquine (Aralen), Jamarsen paint, and topical adrenocorticosteroid preparation of commercial strengths was not effective. Then topical application of highly concentrated fluoridated adrenocorticosteroid preparation (0.2% flucinolone acetonide), available for investigational purposes, was found to be controlling. Several weeks later there was a flare of the process in a form that clinically resembled a pyoderma. The topical application of the effective, experimental adrenocorticosteroid preparation was discontinued

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