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Chronic, Exudative, Discoid and Lichenoid Dermatitis. Presented by Dr. Herman Sharlit.
B. W., a white man aged 37, first consulted me in August 1935. He was then and still is a silk buyer, which means that he is engaged in handling dyed silk. This eruption was identical with the condition first described at clinical meetings by Dr. Rosen and subsequently by Dr. Sulzberger and others as "chronic, exudative, discoid and lichenoid dermatosis" and later by Dr. Cannon as "allergic dermatitis simulating lymphoblastoma." The essential clinical characteristic presented by the patient in 1935 was a generalized eruption, including the genitals, which was eczematoid. The condition was further characterized by severe itching, areas of lichenification, discoid lesions and a generalized adenopathy. The eruption first appeared on the dorsa of the feet and was thought to be caused by sensitization to the dyes in silk. The Labor Board acquiesced in this opinion, and