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December 1927


Arch Derm Syphilol. 1927;16(6):801-812. doi:10.1001/archderm.1927.02380060120014

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White Spot Disease. Presented by Dr. Lane.  D. C., a boy, aged 4½ years, had an oval white lesion about 1 inch long by one-half inch wide (2.5 by 1.27 cm.), just external to the outer edge of the left eyebrow, which was said to have developed one and a half years previously, following a fall. There was no cut or bruise in this location at the time of the fall. The lesion had gradually increased in size. The center was somewhat hard and thick, and there was some exfoliation. The edges were smooth. The whole surface was white.

DISCUSSION  Dr. MacKee: The lesion, of course, is some form of scleroderma. I hesitate to designate it as white spot disease because of the absence of the peculiar infiltration that suggests a piece of exceedingly thin cardboard, (such as that used for playing-cards) embedded in the skin. However, in the late

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