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Psoriasis. Presented by Dr. Berkowitz.
S. O., a girl, aged 5½ years, had erythematous, scaly lesions on the distal half of the fingers and toes of one year's duration. On the palms and soles were several sharply defined, scaly lesions varying in size from that of a pea to that of a bean, and one was about the size of a half dollar. The nails showed horizontal striations and some pitting, and the ends of the nails were slightly elevated owing to scaling of the nail-beds. This patient was shown because of the localization of the lesions.
DISCUSSION
Dr. Throne: Before making a diagnosis of psoriasis, the child should be examined carefully for possible mycotic infection.Dr. Frank: I do not think this is a case of psoriasis. There are no lesions on the rest of the body. I think it is some type of ringworm infection.Dr. Chargin: I