During the past three years one of us (C. W. F.) has observed 5 instances in which a member of a band who played some type of horn acquired vitiligo in the center of the upper lip. All of these patients were Negroes. Recently another eruption of this type was observed in a white trumpeter by one of us (H. H. H.).
The literature contains no similar observations, and the book on "Occupational Diseases of the Skin" by Schwartz and Tulipan1 records none. In a personal interview Dr. Schwartz stated that no such instance had been reported, but that the condition might well come from a wooden mouth piece or from metal polish. A careful history of our 6 cases revealed the fact that in each instance the mouth piece was of brass and no polish had been used on it. It is worthy of note that there
FREEMAN CW, HAZEN HH. VITILIGO OF UPPER LIP IN PLAYERS OF WIND INSTRUMENTS. Arch Derm Syphilol. 1943;48(6):605. doi:10.1001/archderm.1943.01510060029003
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