The patient was a girl aged 10 years. Shortly after birth the child become subject to convulsive seizures, due probably to some central lesion. These attacks continued for a period of about twelve months, the child sometimes having as many as one hundred seizures in one day. During the course of these attacks, when the child was five months old, unusual patches of telangiectasis developed on the face and body. There is a large, diffuse, irregularly oval patch on the left cheek and another about the size of a silver quarter under the chin; the latter appears to be undergoing spontaneous involution. Three or four years later a large number of minute lesions appeared on the face, distributed over the nose and malar regions, suggesting the bat-shaped arrangement of lupus erythematosus, and these have remained with scarcely any change since. On the back there is a large cicatricial mark, several square inches in area, keloidal in appearance, which the mother states followed the application of a mustard plaster. On the opposite side of the body there are a number of cicatricial points, that seem to have developed spontaneously. The child is weak-minded.
J Cutan Genito-Urin Dis.
February 1894;12:74.