In 1894, under the title "erythema elevatum diutinum," Crocker and Williams1 described a persistent nodular eruption of the skin occurring chiefly in childhood. They stated that besides their case, 1 had previously been recorded by Middleton and 1 by Bury. Hutchinson had recorded a report of a disease, of which he had seen 4 cases, as "symmetrical purple congestion of the skin," which occurred, however, in elderly men but which Crocker and Williams thought resembled the disease of the other cases sufficiently to be placed in the same group. They spoke of these as of the "Hutchinson type" and those described by Middleton, Bury and themselves as of the "Bury type." The chief differential points enumerated were that the disease in the former variety occurred in elderly gouty men with no selective locations on the skin whereas the latter was found usually in young women