For years I was puzzled by the fact that "eczema" of the eyelids should be so utterly rebellious to treatment. In 1924, a girl of 14 came to the skin clinic of the Massachusetts General Hospital with what one was wont to call eczema of the eyelids, but the color of this dermatitis was so strikingly café-au-lait and the surface of the lesion was so suggestive of the type of scaling which one associates with tinea versicolor that Dr. Swartz was asked to scrape the lids and to examine the scales under the microscope. To my gratification Dr. Swartz was able to demonstrate round, budding organisms analogous to yeast.
There the matter rested until the beginning of this year, when in my private patients I found myself frequently encountering skin eruptions in various parts of the body so reminiscent of that of the eyelids of the child treated in 1924
WHITE CJ, SWARTZ JH. CRYPTOCOCCOSIS EPIDERMICA. Arch Derm Syphilol. 1928;18(5):692–705. doi:10.1001/archderm.1928.02380170048004
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