Lymphoblastic Erythrodermia. Presented by Dr. Oliver S. Ormsby.
This man, aged 59, presents a cutaneous condition which began on the hands and wrists six months ago following severe sunburn. Redness spread from these areas over the entire cutaneous surface.
He was treated five years ago for ringworm of the feet and for a secondary dermatitis induced by local medication.
In 1929 he had a weeping dermatitis of the legs.
There has been no change in the size of the spleen, and the lymphatic glands are not enlarged.
A differential blood count on October 21 revealed: neutrophils, 48 per cent; cosinophils, 3 per cent; large mononuclears, 5 per cent; small mononuclears, 40 per cent; lymphoblasts, 3 per cent, and transitionals, 1 per cent. On October 31, the leukocytes numbered 11,950. On November 4, they numbered 12,600, and the differential count showed: neutrophils, 41 per cent;eosinophils, 8 per cent; large ononuclears,