To the Editor.—
I should like to report on a previously unrecognized (at least by me) syndrome noted in the Philippines, involving a reaction to the hairs of the carabao or Philippine water buffalo.
Report of a Case.—
On July 6, 1970, a 22-year-old sailor was seen in the dispensary with a severe vesiculopustular eruption of the medial surfaces of the lower thighs and calf. He reported that these areas were in direct contact with the hide of the carabao he rode during the rain at the Fourth of July Carabao Races on base. Further, he reported having ridden carabaos before, also wearing shorts, but had developed no rash. However, at that time the weather was dry.
Gram stain of the purulent contents of the lesions showed no organisms; Wright's stain showed a predominance of eosinophils. Cultures were negative.
In the course of the following week, at least eight more
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