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September 1977

Transient Bullous Eruption

Author Affiliations

Brisbane, Australia

Arch Dermatol. 1977;113(9):1302-1303. doi:10.1001/archderm.1977.01640090150052

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To the Editor.—  We have also seen a patient with a transient bullous eruption similar to the three cases reported in the Archives by Waisman et al (112:1440-1441, 1976).

Report of a Case.—  An 89-year-old man with senile dementia had a two-week history of pruritic bullae and erosions that commenced on his hands and gradually spread to involve his trunk and limbs. There were no known precipitating causes. Biopsy specimen showed a subcorneal vesicle containing some acantholytic cells. Direct and indirect immunofluorescence were negative. The lesions resolved within six weeks with the use of only topical corticosteroids. He has been symptom-free for 18 months.

Comment.—  We would prefer to emphasize the subcorneal level of vesiculation and the close clinical and pathological similarities to pemphigus foliaceus in any title used for this condition rather than regard it as a bullous variant of Grover's disease. We have seen a similar solitary subcorneal

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