Psoriasis. Presented by Dr. D. M. Sidlick.
The patient is presented because of his age and the unusual distribution of the lesions. A white boy aged 8 years, of good general appearance, though obese, presented a clinical picture not usually seen in psoriasis. The onset of the psoriasis was at the age of 4 years. There was psoriasis punctata and guttata on the trunk. On the fingers there were scaly plaques sufficiently large to cover the distal phalanges and the joints of the fingers, the marked infiltration interfering with the mobility of the distal phalangeal joints. There was a similar condition on the toes, with somewhat deep fissures caused by the marked infiltration. The pubic area and the genitalia were likewise involved.
The patient has been treated with tar paste and ultraviolet light. He was seen for the first time a week before presentation.
Dr. Bernard L. Kahn
Pfahler GE, Flood JM. PHILADELPHIA DERMATOLOGICAL SOCIETY. AMA Arch Derm. 1957;76(3):383–385. doi:10.1001/archderm.1957.01550210109025