Pemphigus Vulgaris Under Control with Corticotropin ACTH for Eighteen Months. Presented by Dr. Morris Leider.
B. K., a man aged 68, was previously presented before the Society on Jan. 18, 1951, at which time pemphigus vulgaris had been controlled for nine months with corticotropin (ACTH). At the present showing, there has been eighteen months of uninterrupted corticotropin administration in slowly falling maintenance dose with no relapse.
The past history relating to the present condition is as follows: In March, 1950, the patient complained of severe generalized pruritus and exhibited scattered excoriations. In April, 1950, there developed bullae around the umbilicus, on the sides of the trunk, and on the extremities. By May, 1950, bullae in great numbers were occurring in the mouth in addition to other sites on the skin; a low-grade fever appeared; the sedimentation rate was elevated, and the red blood cell count and hemoglobin determination were