The case which we report was presented at the clinical meeting of the American Dermatological Association, at the Massachusetts General Hospital in Boston, in 1921, and as there was no general agreement as to diagnosis and there had not then been opportunity for careful study, the following report is presented. We are indebted to Dr. Frederick S. Burns, who presented the case, and to Dr. Harvey P. Towle, in whose service it occurred, for the opportunity to study it. The report of the discussion of the case at its presentation may be found in the October, 1921, number of the Archives of Dermatology and Syphilology, page 556. REPORT OF CASES J. C., a man, aged 62, born in Nova Scotia, married, a wood polisher, whose mother died of cancer, and whose father died of kidney disease, had five brothers, three dead; three sisters, all living; and one grandchild, who was well. There has been no condition similar to that of the patient in other members of the family, or any other skin disease. The patient was operated on at the Massachusetts General Hospital in 1920, and epididymectomy and vasectomy were performed for tuberculosis. As far as he knew, his skin was normal up to the time of the appearance of the present condition, and he
