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A young Jewish girl of 16 presented herself at the Vanderbilt Clinic on account of hemorrhagic spots under each eye. She was pale, flabby and badly nourished. In other respects she was well. She had menstruated for the first time at 13 years of age. Since the establishment of her menses she noticed every month, two or three days before her period, that a red spot would appear under each eye. The skin would become red, the blood would rise to the surface and finally ooze through and form a clot, which dried, resulting in a crust. This lasted during her period and disappeared gradually, so that in two or three days afterward the skin would be normal again. She also said the spots would occasionally appear two or three days after her menses and would disappear as usual.
There was a hypermetropia of a mild degree with normal vision.
CLAIBORNE JH. A CASE OF VICARIOUS MENSTRUATION FROM THE LOWER LIDS. JAMA. 1902;XXXIX(11):631. doi:10.1001/jama.1902.52480370039002
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