Abstract
In the scientific exhibit at the Portland session of the American Medical Association in 1929 attention was called by Becker and Koehler to certain dermatoses accompanied by signs and symptoms that were regarded as evidence of a deficiency of energy. This study has been continued, and it is the purpose to present in this paper impressions that are the result of observation of 204 unselected patients. These patients fall into the so-called "functional" group, a heterogeneous group concerning which there is considerable disagreement. The outstanding feature of the group is the absence of evidence of organic pathologic lesions to account for the signs and symptoms. Various terms have been employed to designate these patients, depending on the predominant features of their condition. Children with this condition are designated by the French as neuroarthritic. Comby1designated arthritism as vasotrophic neurosis, with vasomotor manifestations appearing during the first half