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Correspondence
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Volume 355:423-424 July 27, 2006 Number 4
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Twin Girls with Neurocutaneous Symptoms Caused by Mothball Intoxication

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To the Editor: An 18-year-old 12th-grade student presented with a one-month history of an ichthyosis-like dermatosis (Figure 1), which symmetrically involved the lower limbs, elbows, and hands. Blood tests demonstrated iron-deficiency anemia and lymphoneutropenia. The patient also had an unsteady gait, urinary retention, signs of intracranial hypertension, a cerebellar syndrome, pyramidal signs in all limbs without weakness, and mental sluggishness. The results of cerebral and spinal magnetic resonance imaging, electroencephalography, and cerebrospinal fluid analysis were normal.

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Figure 1. Dermatologic Involvement in PDB Poisoning.

Bilateral ichthyosis-like dermatosis consisting of hyperpigmented keratotic plaques is shown, with geographic borders on both legs.

 
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