The illustration is that of a 7-year-old boy seen on Dec. 29, 1955, who stated that round spots on both nipples appeared suddenly two weeks previously. The history was confirmed by his older brother. Two days later a spot appeared behind an ear, and in another day the rash spread to the trunk. There was little itching. The patient took no medicine. A fungicide had been used topically with no success. The history revealed no previous skin trouble in the patient or in his immediate family.
Each nipple was encircled by a scaly, reddish lesion measuring 3.5 cm. in diameter. Scaling and redness were more prominent at the border. There were a moderate number of smaller, oval, papulosquamous lesions on the chest, back, and neck, and behind the left ear.
Fungi were not demonstrable from the nipple lesions either in scrapings or in culture.
Treatment was with starch baths, a
SAUER GC. A Query. AMA Arch Derm. 1957;75(6):877. doi:10.1001/archderm.1957.01550180091023
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