[Skip to Navigation]
January 1983


Author Affiliations

Professor of Dermatology in Harvard University.

Arch Dermatol. 1983;119(1):72-80. doi:10.1001/archderm.1983.01650250076021

This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables.


There appeared lately at the clinic for cutaneous diseases at the Massachusetts General Hospital a patient whose skin presented the following extraordinary manifestations: The whole surface, with the exception of the palms and soles, the genitals, and some portions of the flexor aspects of the arms, was thickly occupied by a variety of lesions, which may be thus analyzed:

  1. Minute papules, the size of a small pin's head, smooth, firm, and not differing in color from the surrounding skin.

  2. Papules somewhat larger than the above and slightly hyperæmic in appearance.

    Lesions 1 and 2 closely resemble those of keratosis pilaris, but are, perhaps, not so sharply conical as the latter often are.

  3. Still larger papules, of flattened hemispherical shape, with smooth or polished, dense coverings of nail-like consistence, and varying in color from dull-red to purplish, dusky-red, brown, and brownish-black. At a little distance they strongly resemble

First Page Preview View Large
First page PDF preview
First page PDF preview
Add or change institution