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Keratosis Palmaris et Plantaris (Congenital). Presented by Dr. Samuel Ayres Jr.
S. B., a white boy aged 11 years, presents hyperkeratosis of the palms and soles, consisting of thickened yellowish areas, with a rather sharp line of demarcation along the sides of the feet and hands. These changes first appeared when the patient was about 6 weeks old. The father, one of eleven children, is the only member of the family known to suffer from a similar condition.
Dr. L. F. X. Wilhelm: I agree with the diagnosis. I have nothing to offer as to therapeutic possibilities.Dr. Samuel Ayres Jr.: I presented this case for the purpose of hearing discussion as to whether a patient with this disease might be benefited by vitamin A therapy in view of the changes reported in some cases of ichthyosis and in Darier's disease.
Necrobiosis Lipoidica Diabeticorum. Presented by Dr. Samuel Ayres