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Diffuse Pigmentation, Incontinentia Pigmentia. Presented by Dr. Jacob Skeer.
H. P., a girl aged 14, born in the United States, consulted me because of a generalized pigmentation of four years' duration. The patient stated that it first appeared after sunburn. Both parents are alive and well, and she has a sister, 16 years old, also in good health. As a child she had chickenpox, whooping cough and measles. She complained of headaches about five years ago, but they disappeared after she began to wear glasses. She graduated from elementary school at the age of 13. She began to menstruate at the age of 12 years. Her periods are regular, of six days' duration, with pain the first day.Physical examination shows that her hair is streaked with numerous gray hairs and that there is slight pityriasis of the scalp. She has a high forehead, prominent bosses and a wide space