RT Journal A1 Palmer AE, Grekin JN T1 DEtroit dermatological society JF Archives of Dermatology JO Archives of Dermatology YR 1960 FD July 1 VO 82 IS 1 SP 116 OP 119 DO 10.1001/archderm.1960.01580010122028 UL http://dx.doi.org/10.1001/archderm.1960.01580010122028 AB Diagnosis: Rothmund's Syndrome (Poikiloderma Congenitale of Thomson) vs. ?Pellagralike Changes. Presented by Dr. A. C. Curtis and Staff.  This Mexican child began to develop a strange atrophy of the skin beginning at about one year of age. He had been very ill from shortly after his birth until about 18 months of age, when he began to grow, eat, and develop fairly well. The atrophic disorder first appeared on the cheeks and external ears and then on the arms, buttocks, and, most recently, over the skin of his legs. There is no history of skin disease, developmental defects, or cataracts in the family, and no history of consanguinity. There are no untoward subjective symptoms. Physical examination was essentially normal except for the skin which showed extensive reticulated, pigmented, and atropic, though not telangiectatic, changes in the areas noted above. There were small islands of normal-appearing skin among the web-like pattern