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A Case for Diagnosis (Erythema Perstans?). Presented by Dr. Louis Chargin.
This woman, aged 23, single, a clerk, has been suffering from a disturbance of the skin of the face for two years. During this period the eruption has remained almost stationary.The eruption is limited to the center of the face. It is superficial and slightly erythematous and occasionally shows a fine scaling. The outer limits of the eruption, located on the cheeks, are somewhat irregular. Adjacent to the affected area on the left cheek is a somewhat depigmented area the size of a dollar which resembles vitiligo. There are no subjective symptoms. For two years prior to the appearance of the lesions the patient had used once or twice monthly a bleaching wax which she applied not only to the face but to the neck. Yet there is no evidence of any involvement of the skin in the
Silver H, Feldman S. BRONX DERMATOLOGICAL SOCIETY. Arch Derm Syphilol. 1934;30(3):459–467. doi:10.1001/archderm.1934.01460150125015