NEW YORK ACADEMY OF MEDICINE, SECTION OF DERMATOLOGY AND SYPHILIS

Abstract

A Case for Diagnosis (Epidermolysis Bullosa, Dystrophic Type?). Presented by Dr. Frank Vero. I. K., a man aged 24, is presented from the Vanderbilt Clinic, with lesions on the arms, the legs and the forehead, of seventeen years' duration. The patient states that after trauma the skin bruises and breaks down easily and hematomas, ulcerations and scarring form. Healing is slow and prolonged. The patient has been seen in various hospitals at different times. Examination shows on the backs of the hands, the extensor surfaces of the forearms and elbows and the anterior aspects of the calves, variously sized sharply defined whitish and brownish pigmented atrophic scars, some showing a venous network. In some areas the atrophic skin can be lifted up in large bunches. The skin is otherwise of normal appearance and fine texture. On the left wrist there are a raised reddish bullous lesion and a crusted