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Urticaria Pigmentosa (Adult Type). Presented by Dr. Vaughn C. Garner.
N. R., a white man aged 59 years, presents profuse, widespread, macular and maculopapular pigmentary lesions involving the scalp, face, trunk and the proximal segments of the extremities. The unusual clinical features are the late onset (at 56 years of age), profuse character of the eruption, extensive pigmentation, pronounced urtication on stroking, the almost axial distribution of part of the eruption and the poikiloderma-like changes in the groins.A complete blood count and the blood sedimentation rate were within normal limits. Results of urinalysis were normal, and the serologic tests for syphilis gave negative reactions.
DISCUSSION
Dr. Vaughn C. Garner: I emphasized on the protocol the late age of onset. I find that a series of cases discussed by Hannay in 1925 included approximately 280 patients. He found that only five of the group, less than 2 per cent,