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STANLEY CRAWFORD, M.D.

Arch Derm Syphilol. 1949;59(1):55-67.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

During the past several years I have observed a chronic, benign and mildly inflammatory dermatosis which, because of its occurrence on bilaterally symmetric regions and its resistance to therapeutic measures, seems to merit description. The condition is an exogenic infection with hemolytic Staphylococcus aureus distributed by the fingers to bilaterally symmetric areas of the skin, where seemingly a bacterial allergic state and chronic circumscribed lesions develop. This supposed focal cutaneous allergy is regarded as a constitutional dermatoneurotrophic reflex, similar in mechanism to that in neurodermatitis and atopic dermatitis, inducing regional lowered resistance and a consequent delayed response to therapy.

This dermatosis was described by Adamson¹ in 1908 as "a form of chronic superficial dermatitis in circumscribed patches with symmetrical distribution occurring in children"; he referred to the circumscribed patchy character of the eruption, the dry adherent crusting and scanty exudate, its probable pyococcic origin and its resistance to treatment. . . . [Full Text PDF of this Article]

Author Affiliations
PITTSBURGH

From the Dermatologic Department, Pittsburgh Children's Hospital, Pittsburgh.

Footnotes
Read at the Sixty-Seventh Annual Meeting of the American Dermatological Association, Inc., Murray Bay, Canada, June 5, 1947.

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