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December 2, 1916


Author Affiliations

Associate Professor of Dermatology and Syphilology, Chicago College of Medicine and Surgery; Attending Dermatologist, Cook County Hospital; Consulting Dermatologist, Chicago Lying-In Hospital CHICAGO

JAMA. 1916;LXVII(23):1668-1669. doi:10.1001/jama.1916.02590230032011

Mrs. K. D., Polish, aged 28, came to my clinic at the Lincoln Dispensary in June, 1915, complaining of a blemish which she had first noticed in July, 1913, as a round group of bright red points on the right side of the neck just below the site of the present patch. Since then it had been slowly but continuously spreading, unaffected by treatment. The only subjective symptom was a slight itching of the area when she perspired. She had always been well except for frequent headaches, which were worse at the menstrual periods. She had been married eight years, had three healthy children, and had had no miscarriages.

On the right side of the neck just below the jaw was an irregularly oval group of bright red macules, in size from a pin point to a pin head, and very slightly elevated soft papules, interspersed with short wavy telangiectases,