Elastoma Intrapapillare Perforans Verruci-forme. Presented by Dr. John H. Epstein and Dr. Francis J. Sullivan (by invitation).
A 17-year-old youth was admitted to Moffitt Hospital for evaluation of cystinuria with nephrolithiasis and recurrent urinary tract infections since the age of 3 years.Two and one-half years ago the patient first noted a few isolated papular, somewhat pruritic lesions of the occipital area and the nape of the neck. Since that time the lesions of the occiput have cleared, but there has been an increase in the number of lesions over the nape. These are intermittently pruritic and "irritated." Occasionally, there has been a small amount or purulent discharge from individual lesions, and if traumatized they bleed freely.On examination there are acneform lesions on the cheeks, but otherwise the skin is entirely clear save for the skin of the neck, which shows erythematous papules of a conical shape with keratotic