ACUTE VESICULAR ERUPTIONS OF THE HANDS AND FEET

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Abstract
Darier1 stated that "when one is faced with a dyshidrosiform eruption the problem is to decide between either (1) parasitic epidermatophytosic dyshidrosis, or (2) non-parasitic dyshidrosis, or occupational dyshidrosiform dermatitis." Since Mouktar2 (1892) called attention to the fact that many cases are mycotic, there has been a growing tendency to blame this infection. Recently, Mitchell3 reported his failure to find fungi in dermatoses that simulate mycotic pictures. He quoted Rajka, who stated that there are three forms of dyshidrosis: mycotic, microbic and nonparasitic, and that it is his belief that further study might lead to the placing of many of the cases of the third group into one or the other of the first two groups. The sudden change exhibited by certain dyshidroses into pyoderma suggests microbic origin in them, although it cannot be definitely determined whether the pyogenic infection is primary or secondary. The failure to

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