Introduction Cushing's syndrome, whether it reflects primary adrenal cortical hyperfunction, or hypercorticalism secondary to pituitary basophilism, is a rare disease. A review of the records at the Bronx Veterans Administration Hospital for the period 1948—1958 produced a total of only eight such cases. During this period the hospital was averaging approximately 9,300 admissions annually, underlining the rarity of this syndrome. Extensive mycotic cutaneous infection due to Trichophyton rubrum is uncommon in a temperate climate such as that of the northeastern United States. We are referring to the widespread infection rather than the localized variety of dermatomycosis, which may have started as a tinea cruris or tinea pedis and spread to involve the adjoining buttocks or feet. One probably does not see more than one or two new cases a year of a generalized T. rubrum infection in a New York City dermatologic center. The rarity of