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March 1940


Arch Derm Syphilol. 1940;41(3):569-570. doi:10.1001/archderm.1940.01490090121017

It was not until Niles published his paper "Winter Eczema of the Arms"1 that I was able to classify a similar syndrome in several patients whom I had seen.

The purpose of my report is to draw attention to the fact that occasionally these same lesions may be found on the extensor surfaces of the lower extremities, as well as on the arms and shoulders, and I believe the title winter eczema more appropriate to describe this malady.

In all respects my experience with this disease of the skin has been similar to that of Dr. Niles. The small scaly circinate macules with a fine vesicular border are so suggestive of a superficial fungous infection that it is surprising that repeated microscopic and cultural studies have been without avail. There has been no history of exposure to contact irritants, other than excessive bathing, and only 1 patient has had