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JAMA Dermatology a Century Ago |

Dermatitis Dysmenorrhœica Symmetrica

Mark Bernhardt, MD
JAMA Dermatol. 2014;150(10):1043. doi:10.1001/jamadermatol.2014.374.
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The Journal of Cutaneous Diseases

October 1914


Polland takes up the cudgels in defense of the recently described clinical entity of dermatosis dysmenorrhœica symmetrica, and stoutly repudiates the hostile suggestion that the condition is indigenous only to the vicinity of the Graz clinic. A number of very interesting new cases are presented, including a note on the one described by Friedberg in Breslau. The following essential features of the disease are recalled by the descriptions. The disease occurs only in women, presenting the symptoms of abnormal ovarian function, especially menstrual irregularities. A positive lipoid reaction is obtained from the blood, by the method of Neumann and Hermann. The onset occurs suddenly, with subjective symptoms of stinging and burning, and objectively a perifollicular vascular dilatation, with vesicle formation and oozing. In severe cases, follicular infarct-like necroses may develop, with a slough and subsequent scarring. The efflorescences are generally symmetrical, with a tendency to linear configuration on the extremities and a patchy contour on the face. The first appearance tends to be on the latter site, with extension to the body, involution and cyclical reappearance upon the face. Polland regards the condition as incident to a disturbance of the internal secretion of the ovaries and has obtained gratifying therapeutic results in some of his cases from the use of “Ovaradentriferrin.” He feels that there is a circulating toxin among the ætiological factors in the disease, and that the lipoid reaction of the blood supports this contention. A number of cases are cited in elaborating the differential diagnosis between this condition and various herpetiform efflorescences which the author regards as essentially dermal neuroses.

J Cutan Dis. 1914;32(10):724.


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