The following case has excited so much interest at various dermatologic meetings that it was thought worth while to record it more fully. Aside from Wende's1 case, suggested to me by J. E. Lane, nothing has been found closely paralleling the peculiar formation noted here-with, and even Wende's description is not a near approach to this patient's appearance.
REPORT OF CASE
R. J. F., aged 48, white native of Delaware, an indoor railroad employee, was referred to me by Dr. Ira Burns of Wilmington on account of a chronic eruption, limited to the head and neck. Dr. Burns had, not unreasonably, considered the condition to be one of multiple basal cell epithelioma and had used fairly intensive roentgen-ray treatment without much result.The patient felt that his general health had always been fairly good. He had had malaria as a child of 11, the only serious illness he could