In 1921, I had the opportunity to study a patient with a pathologic condition to me entirely unique. At that time, I did not succeed in finding similar cases reported in the literature. I was at a loss to give a satisfactory name to the condition or disease, and so did not place it on file in the literature. Recently, in a report of a meeting of the Association of Physicians of Great Britain and Ireland, held May 29, 1925, I saw a brief notice of an entirely similar case, reported by F. Parkes Weber, and subsequently read his report in the British Journal of Dermatology and Syphilis.1 The name he used intrigued me; now, with a title for my report, it seemed appropriate to present my observations before the Association of American Physicians, which furnished a model for the society before which Weber made his report. The name