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    Mermh1Atotogp.: Sbection

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    gugicevdzoce
    This document summarizes three patient cases presented at a dermatology section meeting. The first case describes a 29-year-old male with urticaria pigmentosa, an eruption of small red and blue macules on his trunk and limbs. A biopsy showed mast cell infiltration. The second case is an 11-year-old girl who previously had pityriasis rubra pilaris that cleared up, and now presents with psoriasis. The third case involves a 10-year-old boy with grey-yellow patches on his tongue and lips since age 16 months, as well as mouth fissures. Monilia or streptococcal infection is suggested as a possible cause.

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    Mermh1Atotogp.: Sbection

    Uploaded by

    gugicevdzoce
    20 views1 page
    This document summarizes three patient cases presented at a dermatology section meeting. The first case describes a 29-year-old male with urticaria pigmentosa, an eruption of small red and blue macules on his trunk and limbs. A biopsy showed mast cell infiltration. The second case is an 11-year-old girl who previously had pityriasis rubra pilaris that cleared up, and now presents with psoriasis. The third case involves a 10-year-old boy with grey-yellow patches on his tongue and lips since age 16 months, as well as mouth fissures. Monilia or streptococcal infection is suggested as a possible cause.

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    This document summarizes three patient cases presented at a dermatology section meeting. The first case describes a 29-year-old male with urticaria pigmentosa, an eruption of small red and blue macules on his trunk and limbs. A biopsy showed mast cell infiltration. The second case is an 11-year-old girl who previously had pityriasis rubra pilaris that cleared up, and now presents with psoriasis. The third case involves a 10-year-old boy with grey-yellow patches on his tongue and lips since age 16 months, as well as mouth fissures. Monilia or streptococcal infection is suggested as a possible cause.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    20 views1 page

    Mermh1Atotogp.: Sbection

    Uploaded by

    gugicevdzoce
    This document summarizes three patient cases presented at a dermatology section meeting. The first case describes a 29-year-old male with urticaria pigmentosa, an eruption of small red and blue macules on his trunk and limbs. A biopsy showed mast cell infiltration. The second case is an 11-year-old girl who previously had pityriasis rubra pilaris that cleared up, and now presents with psoriasis. The third case involves a 10-year-old boy with grey-yellow patches on his tongue and lips since age 16 months, as well as mouth fissures. Monilia or streptococcal infection is suggested as a possible cause.

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    © All Rights Reserved
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    sBection of Mermh1atotogp.

    [February 21, 1929.]


    Urticaria Pigmentosa in an Adult.-J. E. M. WIGLEY, M.B.-Patient, a
    healthy male, aged 29, has had the present eruption for about four years. It does
    not cause itching nor does it give rise to any symptoms. He had syphilis ten years
    ago, for which he received treatment, and a Wassermann reaction, in June, 1928,
    proved negative.
    The eruption consists of small red and bluish macules scattered over the trunk,
    and, to a less extent, over the upper limbs. The lesions become definitely turgescent
    on friction (" urtication "). No factitious urticaria or dermographism is present.
    A biopsy showed slight pigmentation of the basal layer, and a moderate number
    of mast cells."
    Pityriasis Rubra Pilaris followed by Psoriasis.-J. E. M. WIGLEY, M.B.
    Patient, a healthy girl, aged 11, presents typical lesions of psoriasis on the scalp,
    forehead, arms and trunk. She was previously shown at this Section in January,
    1925, when the diagnosis of pityriasis rubra pilaris was made. That condition
    cleared up, in spite of, rather than because of treatment, and she re-appeared with the
    l)resent eruption during the course of the last month. The alternation of these
    diseases, mentioned by most writers, is thus illustrated.
    Dr. GRAHAM LITTLE said he had shown a case of this kind not many months ago; but
    the psoriasis appeared first, and was followed by pityriasis rubra pilaris. He did not regard
    them as identical diseases.
    Infection of Tongue and Lips (?) Monilia.-Shown for Diagnosis.-J. E. M.
    WIGLEY, M.B.-Patient, a healthy boy, aged 10, has had the present condition of
    his tongue since the age of 16 months. It does not seem to cause him any
    appreciable pain or discomfort, and his mother says that it does not vary in appear-
    ance from time to time.
    The tongue is large and pale, with a thickened smooth surface, traversed by
    several fissures of moderate depth. On the surface are several greyish-yellow
    patches, varying in size from that of a pin's head to that of a threepenny piece, and
    having the appearance of "wash-leather." They are situated on the dorsum and
    sides of the tongue, whilst there are some smaller patches on the hard palate.
    The patches cannot be rubbed off, are not painful, and do not vary in size.
    Deep rhagades are present at both angles of the mouth, which are always wet
    with saliva. He has mild blepharitis, and some scurf on his head.
    The Wassermann reaction has been negative on several occasions, and a course
    of anti-syphilitic treatment has yielded no effect.
    I suggest that the rhagades are due to a chronic monilia or streptococcal
    infection from the dribbling saliva, but whether the condition of the tongue is of
    the same nature I cannot say.
    Discussion.-Dr. J. M. H. MAcLEoD (President) said he believed that the lesions at the
    corner of the mouth were " perleche." He asked whether the tongue had been examined for
    Imonilia; if not, this ought to be done.
    Dr. J. A. DRAKE said this might be a chronic streptococcal glossitis in association with
    the fissuring. He had seen anti-streptococcal serum used locally for suph a condition, wvith
    fair results.
    JUNE-DERM, 1

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