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A Case for Diagnosis. Presented by Dr. H. G. Miskjian.
R. D., a youth aged 17, has a remarkably symmetric eruption, on each side of the nape of the neck. It started about two years ago in the form of a small red pimple on the left side and gradually spread. About a year later it appeared on the right side. It has been in its present condition for about a year.On both sides of the back of the neck, about 5 cm. from the midline, there is a linear eruption, composed of small, red, raised, hard papules. They are contiguous but not confluent and appear like beads on a string. The eruption forms a curved line, more or less paraboloid on the right side. On the left side it is irregularly curved with a looplike annular lesion in the middle. There are, in addition, some stray papules around
Cole HN, LaRocco CG, Driver JR. CLEVELAND DERMATOLOGICAL SOCIETY. Arch Derm Syphilol. 1941;43(4):739–748. doi:10.1001/archderm.1941.01490220135026
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