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Presented by Dr. Ervin Epstein, Oakland, Calif.R. M., a white woman aged 32, was referred to me by Dr. Joseph Reis on March 16, 1939. She stated that she had suffered from "eczema" of the scalp for the past twelve years. A small bald spot had appeared on the top of her scalp at the onset. This had not changed particularly until about one year ago, when it started to enlarge.She now has an irregular palm-sized area of alopecia with atrophy of the scalp. Inflammatory changes are not noted. A few hairs remain in this area, but they can be easily and painlessly extracted. The entire scalp is involved in a dry, scaling eruption which in places is ichthyosiform. There is no history of pustulation. Except for a mild postauricular intertriginous dermatitis there are no lesions of the skin or mucous membranes. The nails are not involved.
Maynard MT, Allington HV. SAN FRANCISCO DERMATOLOGICAL SOCIETY. Arch Derm Syphilol. 1940;41(2):428–440. doi:10.1001/archderm.1940.01490080237018
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