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August 1938


Arch Derm Syphilol. 1938;38(2):317-324. doi:10.1001/archderm.1938.01480140157018

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A Case for Diagnosis. Presented by Dr. Thomas H. Miller.  L. H., a white woman aged 35, presents lesions on the face, one below the right eye and one on the left cheek. The family history is irrelevant.In 1931 or 1932 a "growth" beneath the right eye was excised. The wound healed well, but after ten or twelve months scaling began. In July 1933 the patient presented a pea-sized ivory-colored scar with two milia at the upper border. The milia were removed, and the lesion was screened with lead and treated with 400 r of unfiltrated roentgen rays. It became smaller; no more milia formed, and there was no further change until June 1936. At this time a collection of sebaceous secretion (large comedos) appeared on the left cheek and at the upper border of the lesion beneath the right eye. Roentgen radiation (400 r) was given to each

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