A Case for Diagnosis (Secretory Nevus?). Presented by Dr. Harry L. Arnold Jr.
T. S., a 20 year old Japanese man, was first seen in December 1943, because of a lesion on the left side of the neck which had been present for about two and one-half years. This was a sharply outlined, irregularly oval patch about the size of a silver dollar which was slightly raised, hypopigmented and definitely moister than the surrounding skin and sprinkled with large greasy comedos. A similar but linear lesion about 1 cm. broad extended forward and upward like a "tail" from this patch to a point just in front of the lobe of the ear. While the lesion was being photographed, it was observed under the heat of the lights to become beaded with huge droplets of sweat far out of proportion to the amount of perspiration on the surrounding
Wayson JT, Arnold HL. HAWAII DERMATOLOGICAL SOCIETY. Arch Derm Syphilol. 1945;51(3):220–223. doi:10.1001/archderm.1945.01510210062018