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Article
December 1937

LACQUERED HAIRPINS HOLDING PSYCHE KNOT PROBABLE CAUSE OF LICHENIFIED ECZEMA OF SCALP: REPORT OF A CASE

Author Affiliations

Instructor in Dermatology, Johns Hopkins University School of Medicine BALTIMORE

Arch Derm Syphilol. 1937;36(6):1191-1193. doi:10.1001/archderm.1937.01480060064011

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Abstract

A form of chronic lichenified eczema which corresponds practically in every detail with the classic description of neurodermatitis of Brocq is commonly seen in the occipital area of the scalp in middle-aged women. Signs of seborrheic eczema are usually absent. The circumscription of the lesion, the total lack of exudation throughout its entire course and the invariable absence of eczematoid lesions elsewhere tempt one to identify the process as chronic lichenified eczema resembling neurodermatitis.

The study of such a case of chronic lichenified eczema of the scalp simulating neurodermatitis may serve to show the part probably played in its origin by external local irritants.

REPORT OF CASE  Miss E. M., a middle-aged graduate nurse, in good general health, first consulted me on May 25, 1936, for an intensely itching eruption of the scalp of two years' duration. The condition had been unremitting and was getting worse. Most of

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