DRUG ERUPTION

Abstract

The use of gold and bismuth salts is sometimes followed by the development of a toxic rash. In the case herein reported a rash which simulated both pityriasis rosea and erythema multiforme developed following the extended use of gold sodium thiosulphate and again following medication with bismuth salicylate. History.— A well built man, aged 42, a window washer, was seen for lupus erythematosus which had been present for one year. He presented erythematous scaly patches that covered most of the face, neck, scalp and ears, an eruption so extensive that areas of normal skin were barely visible. The remainder of the body was free from lesions, and there were no systemic symptoms. The past history and the family history were without significance, The general physical examination gave negative results. The Wassermann and the Kahn reactions of the blood, the urinalysis, and the blood pictures were normal. In the past he