capitis, but not so much as formerly, as he uses brilliantine. The
patches seldom itched unless he got very hot. No illness preceded the
eruption; in fact, he has never had any illness; his tongue was clean,
and he looked and has always been perfectly healthy. The general aspect
was somewhat that of a general orbicular seborrhoic eczema, except that
for the most part the surface was smooth.
He has consulted dermatologists and others, but nothing he has taken or
used has done him any good. I only saw him once.
* * * * *
CASE 2.—Mr. H——, aged 37 years, manager of a factory, came to me on
April 2nd, 1902. His general health was very good. The disease had been
present five years, and began on the right fore-arm and a little later
attacked the left. He has never been free since it first appeared, but
thinks some patches have faded and others come out. In the last winter
he had been decidedly worse, for the patches had certainly increased
during the last few months. On the fore-arms, they were nearly
symmetrical, and were quite so at an earlier stage. The lesions were
yellowish or pale red patches; the simple ones were elongated, but the
compound ones irregular in outline; they were from 3/4 to 1-1/2 inches
long. The surface, with a lens, could be seen to be very slightly
roughened, but this was not perceptible to the finger—but when pinched
up there was decided thickening, though they were not raised. There were
no patches on the back of the arms or fore-arms and none on the trunk,
but there were similar patches on the inside of the thighs and on the
legs, some of them larger than the arm-lesions but less distinctly
patchy. There was a large, irregular area on the back of each thigh, and
a few roundish ones scattered about the limbs. The face was quite free,
there was no seborrhœa capitis and there was no itching or other sensory
symptoms in the patches. He was one of ten brothers and sisters who were
in good health, except one who died of syphilitic paralysis. His father
died aged 71 years, and his mother, aged 63 years, was alive and well.
He was given salicin, gr. xv _ter die_, and a lotion of glycerine of
lead and liquor carbonis detergens. I saw him again on July 3rd, when
the eruption had cleared up considerably, much of it having faded,
leaving only a slight stain, but here and there it was still yellow and
slightly rough. He was much better when he took the medicine regularly,
but when he stopped it some of the eruption returned. The salicin was
increased to 20 grains. I did not see him again until July 23rd, 1904.
He then said he took the medicine for three months from July 3rd, 1902,
and then stopped it. He had used the lotion a little longer. On the back
of the legs there were large patches nearly covering the entire area,
but not much in front. It was more distinctly red here than elsewhere,
and there was very little thickening. There were only one or two patches
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