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Vitiligo. Presented by Dr. Weidman.
M. B., a colored woman, aged 92, from the Philadelphia General Hospital, had a patch of pigmentation on each cheek, and one on the left ear. There was entire absence of pigment over the rest of the body. The patient said that her grandfather was white, which suggests an atavistic factor in the case. The parts of the body which were normally deeply pigmented were also depigmented. The patient said that until she was 60 years of age her skin was black.
Dr. Schamberg: I think that the case is interesting because of the extensive depigmentation. A colored man, whose picture is in my textbook, had a few small areas on the nose and on the scrotum showing pigment, and the rest of the body was completely white. The so-called "biblical leprosy" was not true leprosy. One of the diseases included was vitiligo. The Bible makes reference to white spots, the hairs of which turn white, and "if all of the skin shall become white he shall be regarded as clean." Naturally with all of the skin white there would be no contrast.
Hirschler R. PHILADELPHIA DERMATOLOGICAL SOCIETY. Arch Derm Syphilol. 1927;16(5):666–672. doi:10.1001/archderm.1927.02380050130012
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