Other Articles |


Leonard F. Weber, M.D.
JAMA. 1940;114(15):1442. doi:10.1001/jama.1940.62810150004008b.
Text Size: A A A
Published online

Lately I was consulted by a group of department store employees, all of whom showed bites and dermatitis from scratching.

Four women and a man showed wheals and papules. Many of the papules and a few wheals showed a central punctum. The bites varied from five to forty in number on the women and numerous on the man. In the women the sites of predilection were the arms and forearms, while the man had an extensive eruption of the hands, ankles, legs, belt line, upper part of the shoulders and the neck. The itching varied according to the extent of the eruption. At the time of the first examination no parasites were found on the skin or clothing.

Bedbugs, fleas and other blood-sucking parasites had to be considered. A few clues in the history were valuable. No other members of the five families had a disease of the skin; this


Sign In to Access Full Content

Don't have Access?

Register and get free email Table of Contents alerts, saved searches, PowerPoint downloads, CME quizzes, and more

Subscribe for full-text access to content from 1998 forward and a host of useful features

Activate your current subscription (AMA members and current subscribers)

Purchase Online Access to this article for 24 hours

First Page Preview

View Large
First page PDF preview




Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).


Some tools below are only available to our subscribers or users with an online account.

Sign In to Access Full Content

Related Content

Customize your page view by dragging & repositioning the boxes below.