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Vol. 66 No. 6, December 1952 TABLE OF CONTENTS
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FURTHER AMPLIFICATION OF THE CONCEPT OF DERMATOPHYTID

I. Erythema Annulare Centrifugum as a Dermatophytid

OTIS FIELD JILLSON, M.D.; ROBERT A. HOEKELMAN, M.D.

AMA Arch Derm Syphilol. 1952;66(6):738-745.

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

Dermatophytid is the name given the group of skin diseases resulting from allergic reactions to fungous infection of the skin—so-called dermatophytosis. The following minimal criteria must be fulfilled in order to establish the diagnosis of dermatophytid:

  1. Focus of dermatophytosis
  2. Positive skin test to trichophytin
  3. Precipitation of dermatophytid due to blood-borne fungi or fungous products released by
    a. Activation of dermatophytosis
    b. Overtreatment of the dermatophytosis
  4. Absence of fungi in the dermatophytid lesions
  5. Clearing of dermatophytid after the dermatophytosis has been eradicated

Various investigators have proposed that the following are types of dermatophytids:

  1. Disseminated papular lesions1
  2. Vesicular lesions of the hands 2
  3. Erysipelas-like dermatitis of the lower extremities (may eventuate in chronic lymphedema) 3
  4. Migrating thrombophlebitis and thromboangiitis obliterans 4

  1. Urticaria (often associated with asthma and vasomotor rhinitis) 5
  2. Miscellaneous group (erythema multiforme, erythema nodosum, exfoliative dermatitis, lesions simulating pityriasis rosea, and erythema annulare centrifugum) 6
. . . [Full Text PDF of this Article]


Author Affiliations

HANOVER, N. H.


Footnotes

Dr. Jillson is from the Department of Dermatology, Hitchcock Clinic and Dartmouth Medical School.

Dr. Hoekelman is Fellow in Pediatrics, Dartmouth Medical School.

Read before the Section on Dermatology and Syphilology at the One Hundred and First Annual Session of the American Medical Association, June 10, 1952.



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