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The British Journal of Dermatology, April, 1905
THE BRITISH JOURNAL OF DERMATOLOGY.
APRIL, 1905.
XANTHO-ERYTHRODERMIA PERSTANS.
By H. RADCLIFFE-CROCKER.
The above provisional clinical title was suggested to me by my coadjutor
at University College Hospital, Mr. George Pernet, for a well-defined
affection of the skin, of which I have met with ten instances during the
last three years, all but one of them in private practice. I am not
aware that the disease in question has been described before, unless it
can be brought under Brocq’s “erythrodermies pityriasiques en plaques
disseminées,” with which it will be closely compared when the cases
themselves have been considered.
A case which I showed at the Dermatological Society of London in
October, 1904, when Drs. Hallopeau, Gastou, Jacquet and Pautrier were
present, was not regarded by them as a case of Brocq’s disease, with
which they were presumably familiar, but as an entirely new affection in
their experience.
The following description is drawn up from nine of the cases, all males,
which, in the main features, closely resemble each other. The remaining
case, a lady, had some important differences which will be discussed
later.
So far, all the cases have been adults, though some of them were young.
The lesions are evolved in patches of a pale pink or yellowish hue on
the limbs and trunk, the uncovered parts, such as the face and hands,
being free or very slightly affected. Generally, the patches come out
very gradually and in small numbers and, in the main, symmetrically, but
as the older patches never go away spontaneously, while fresh ones are
continually evoluting at short or long intervals, large areas are
involved, and in the course of years (in one case, months) the whole
trunk and limbs are crowded with lesions, though there are always spaces
of normal skin intervening, or sometimes completely enclosed by the
diseased process, where the original patches have coalesced. For the
most part the original patches are discrete and enlarge but little after
their formation, unless they merge into adjoining patches, when
hand-sized or larger areas may be formed.
Public-domain text, read in full here on John Shaqi.
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