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A Case for Diagnosis. Presented by Dr. Biddle.
C. W., a laborer, aged 21, presented scattered erythematosquamous patches, some of which were lichenified, especially on the lower extremities, buttocks and forearms; there was some pruritus. The eruption had been present for seven months.
Dr. Perkins said that there was definite vesiculation in some of the patches, suggesting that this was probably dermatitis herpetiformis.Dr. Parkhurst said that he had seen no vesicles in this case, but that the elementary lesion seemed to be a small follicular papule. The palms and soles were not involved, and there was seborrhea of the scalp, therefore a diagnosis of seborrheic dermatitis would have to be considered.Dr. Bartholomew said that he would not favor a diagnosis of dermatitis herpetiformis in this case.Dr. Doty remarked that the patches might be of dermatophytic origin.Dr. Wile agreed with Dr. Perkins as to the possibility