A CASE FOR DIAGNOSIS. Presented by DR. H. N. COLE and DR. J. R. DRIVER.
S. S., a boy, aged 5, presented many tiny pale flat papules on the dorsa of the hands and on the forearms and cheeks, of two months' duration. The eruption was pruritic.
DISCUSSION
DR. J. E. FISHER: At first, I considered the possibility of juvenile warts or light sensitization, but I favor a diagnosis of lichen urticatus.
DR. H. J. PARKHURST: I agree with a diagnosis of lichen urticatus, and I feel that the removal of the infected tonsils may benefit the condition.
DR. E. W. NETHERTON: The condition is worse in summer, like hydroa aestivale. It may be due to sensitization.
DR. SIDNEY LITTMAN: The distribution is not that of hydroa aestivale. I favor a diagnosis of prurigo mitis.
PSORIASIFORM SYPHILID (?). Presented by DR. H. N. COLE and DR. J. R. DRIVER.
Mrs. W. M., aged 21, presented a generalized eruption of erythematous papules the size of a pea with dry scales, especially on the extensor surfaces of the arms and legs, and on the back and buttocks. There were a few deep-seated papules on the palms and soles. Two months previous to presentation, the lesions had been confined to the arms, and a diagnosis of psoriasis had been made. The patient stated that throughout her life she had had recurrent attacks of "eczema."
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