1915 Journal of the American Medical Association  
A complete physical examination revealed no other abnor¬ malities. The blood Wassermann reaction is negative. Owing to the difficulty of doing anything with the patient, other blood examinations and other laboratory work (excepting urinalyses) so far have not been possible. How¬ ever, it is hoped to accomplish this soon. Case 6 (Serial No: 16845).-Recurrent erysipelas of the face with concomitant impetigo contagiosa in a girl, aged 13. During the past year the patient has had four or five
more » ... four or five repeated attacks of typical impetigo contagiosa, with erysipelas involving the entire right upper half of the face, accompanied by the usual constitutional symptoms. At one time the process was complicated by the development of a right parotid abscess which had to be treated surgically. Each time the condition has subsided after several injec¬ tions of polyvalent streptococcus vaccine (50,000,000 dosage) and the usual local treatment. No foci could be found in the sinuses, but there exists a chronic lacunar tonsillitis, and both inferior turbinâtes are hypertrophied and in con¬ tact with the septum. The rôle of the streptococcus in these two affections is very evident here. Case 7.-Keratosis palmaris and plantaris hereditaria in two boys, (aged 2 and 4 years respectively) both presenting typical very marked lesions on the palms and soles, which lesions have been present since birth. The mother, several uncles and aunts and grandfather have the same abnormality. The condition is always better in the summer. 240 Stockton Street. ABSTRACT OF DISCUSSION Dr. George M. MacKee, New York : I would advise the use of the Roentgen ray in the case of keratosis plantaris et palmaris. I base this opinion on the fact that several examples of keratosis (ichthyosis, erythrodermia ichthyosiforme congenitale, keratosis palmaris et plantaris, senile keratosis, hyperkeratosis, callositas, etc.) have been cured in this manner in Dr. Fordyce's clinic. Dr. Oliver S. Ormsby, Chicago: About fourteen years ago we treated a patient with keratodermia, whose lesions were more extensively developed even than those present in the case demonstrated by Dr. Alderson. Very shortly after birth, in this instance, the palms and soles were almost black in color and the thickening was pronounced. Radio¬
doi:10.1001/jama.1915.02580120031011 fatcat:rjh2byrdibax7h4766gt6g6aea