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JAMA. 1906;XLVII(21):1736-1737. doi:10.1001/jama.1906.25210210044002a.
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My object in presenting the history of a fatal case of pemphigus limited to the mucous membranes is to bring before you a case seen almost from its incipiency to a few days prior to the patient's death, a dermatosis so rare that its existence has been denied by a majority of dermatologists, Brock and Bernier claiming to have seen but four cases.

History.  —Mrs. B., aged 37, a thin, nervous woman, the mother of five living children, was born at Pittsburg, Pa., of German parents. She had the usual diseases of childhood and developed into a strong, healthy woman. She married at the age of 24. Her health commenced to deteriorate after a miscarriage due to overlifting.One year previous to the illness under consideration, Feb. 15, 1904, she experienced her first chill, which lasted two hours. Later in the day she menstruated. A year later she had a


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