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A Case for Diagnosis. Presented by Dr. William H. Mook. (From the Washington University Dispensary.)
The patient, a white woman, aged 31, had an eruption which she said had begun at the age of 5 years, appearing on the skin about the sternoclavicular articulation. It had spread slowly from that point and had appeared recently on the neck and face. There was no pruritus. The eruption was distributed on the lower eyelids and cheeks; on the neck anteriorly and laterally; on the thorax anteriorly, on the adjoining portion of the abdomen and on the breasts. It was thickest on the lower central portion of the thorax anteriorly and over the sternoclavicular articulation. The lesions on the neck, chest and breasts were small, circular or oval, pinkish papules, with no particular tendency toward grouping or line formation. There was a certain quality of translucency about the papules. About the eyelids the
Davis RH. ST. LOUIS DERMATOLOGICAL SOCIETY. Arch Derm Syphilol. 1927;16(2):210–216. doi:10.1001/archderm.1927.02380020082014
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