A Case for Diagnosis (Parapsoriasis [Haberman] ?). Presented by Dr. H. C. L. Lindsay.
Mrs. W. W., a 45 year old white housewife, states that she had eczema as a child and "ulcers on her legs" when she was 14 years of age. Her present eruption, however, consists of a discrete rash on her body and arms. The lesions are scattered on the body almost like a mild form of scabies, but the individual lesions are mostly macules, slightly pigmented and of the size of large freckles. There is some suggestion of lichen-like papulation, and grouping is evident on the arms. There is a definite urticarial factor in the rash. The skin flushes easily with a blotchy macular erythema. She has frequently had herpes on the nose and lips, and there has been a palmar scaling dermatitis for years.
The Wassermann reaction of the blood was negative in 1942, and