(7) A case of _Lichen pigmentosus verrucosus_ in a girl aged 12 years.
The condition started five years ago on the forehead, and extended to
the neck, trunk, groins, and the front and inner aspects of the thighs.
There were innumerable slightly pigmented, warty lesions, irregular in
outline, and varying in size from that of a pin’s head to that of a
split pea. They were composed of a soft, friable substance that could be
easily picked off with the finger-nail. He was not aware of ever having
seen or heard of a similar case. A portion had been removed for
histological examination, and he would endeavour to show a section
before the Society on a future occasion.
This case excited considerable interest, but the majority of the
members preferred to reserve their diagnosis until after the
microscopic examination.
* * * * *
Mr. SPENCER HURLBUTT showed a _case for diagnosis_. The patient was a
delicate-looking woman, aged 22 years, with a symmetrical eruption
affecting both legs. The disease first appeared three months ago as a
brownish-coloured spot on the outer side of the right calf, which was
followed at intervals by similar ones on each leg, and these had
gradually enlarged until the present time. There were now ten to twelve
patches of varying sizes up to that of a florin situated upon the back
and outer surface of the legs. The lesions consisted of fairly
well-defined, non-indurated, circular, dull-red patches, with thin
adherent scales, their general appearance being suggestive of psoriasis
which had undergone treatment. The usual situations affected by that
disease were, however, free from the eruption, and severe itching,
especially toward night-time, was a prominent symptom.
The general opinion was that this was a case of seborrhœic
dermatitis of a psoriasiform type.
* * * * *
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