Dr. J. M. H. MACLEOD showed a case of _grouped comedones_ associated
with acneiform lesions on the chest of a boy aged 2 years. The comedones
were present chiefly on the sternal region, but several isolated groups
occurred around the nipple and umbilicus. Only a few of the comedones
had become inflamed or transformed into acne pustules. The mother had
noticed the comedones about a month before exhibition. There was a
definite history of local irritation in the case, for since the child
was a few months old he had worn a piece of flannel over the chest in
the affected region, and as the mother believed that he had a delicate
chest the flannel had been frequently saturated with camphorated oil.
The exhibitor intended to make a bacterial examination of the lesions
with the object of trying to find the acne bacillus, and hoped to report
the result at a subsequent meeting of the Society. Another point of
interest in connection with the case was the fact that it occurred in a
boy, as the large majority of reported cases have been in boys. Dr.
MacLeod referred also to another case in an infant boy of about a year
old, which he had seen on the afternoon of the meeting, but
unfortunately had been unable to bring up, in which the comedones were
grouped on the forehead and cheeks and in which there was no history of
local irritation to account for the lesions.
* * * * *
Mr. MALCOLM MORRIS showed a case of early _Parakeratosis variegata_, a
full report of which will be published in a future issue of the journal.
* * * * *
Dr. ORMEROD showed: (1) A case of _Lupus erythematosus telangiectodes_.
The patient was a woman, aged 44 years, who stated that she had suffered
from an eruption on the cheeks for the last eighteen months. On
exhibition, there was a large red area situated symmetrically on either
check, the redness being due to dilatation of the small vessels. Within
these areas there were islets of paler and shiny skin, which showed
superficial atrophy. A small area in each patch was covered with a crust
which was difficult to remove, and when detached showed little tags and
prominences on the under surface. The appearance of the eruption had not
materially altered since the patient was first seen fourteen months ago.
All the members present agreed with the diagnosis of the exhibitor.
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