Since the original description of necrobiosis lipoidica diabeticorum, many cases of the disease have been presented. While this entity still needs some elucidation as regards genesis, practically every one professing a special knowledge of dermatology recognizes it clinically. During the past few years there have been mentioned in the literature several cases in which the clinical observations suggested the aforementioned entity but the patients did not have diabetes mellitus. The first of these was recorded by Goldsmith,1 and while his clinical diagnosis favored a morphea-like tuberculosis, microscopic studies pointed toward necrobiosis lipoidica. Gross2 presented a case as one of "morphea with xanthomatous infiltration," but more recently he has referred to it as one of necrobiosis without diabetes.3 This case was originally presented before that of Goldsmith but was not recognized as such. In both the foregoing instances diabetes mellitus was ruled out by dextrose tolerance tests and