A CASE FOR DIAGNOSIS. Presented by DR. UDO J. WILE.
L. M. P., a machinist, aged 33, during the year previous to presentation, had noted hyperpigmentation of the face beginning on the forehead and gradually spreading to involve the entire upper two thirds of the face. This pigmentation was dark brown and mottled. Just anterior to both ears and on the medial surfaces of the orbits, it was considerably accentuated and associated with a slight atrophy. There was also an associated papular element with slight tightly adherent scaling.
The patient's work had been entirely with oil and steel. He had taken a few liver tablets known as "Taurocol," but he had not used any other kind of medication. The tablets contained bile salts, cascara and phenolphthalein in unknown proportions.
DISCUSSION
DR. OLIVER S. ORMSBY: I think that the pigmentation in all probability is not due to phenolphthalein, nor is
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