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Summary Changes in bone, soft tissue and the digestive and urinary tracts as demonstrated by radiographic examination have been correlated with selected dermatoses. Roentgenologic findings, clinical signs, the histopathology, and other laboratory observations have been collected in a few of these, chosen to illustrate the value of multiple system examination. Roentgenograms may further substantiate the diagnosis as in tuberous sclerosis or Sturge Kalischer Weber Syndrome. Identification of the, skin disorder may compel search, often by radiographic examination, for the heralded neoplasm in adult‐type acanthosis nigricans. Sometimes a skin lesion relates a less overt symptom to yield the diagnosis as in intussusception due to intestinal polyposis forecast by the mucocutaneous hyperpigmentation of Peutz Jeghers'syndrome. The presence of cutaneous signs and awareness of their established association with other systems may lead to the identification of the disorder as the syndrome of multiple nevoid basal‐cell epithelioma, jaw cysts, and skeletal defects. Usually, however, the chief reward for selective radiographic examination is the establishment of the systemic nature of the dermatosis and the reminder once again specialization is neither isolation nor fragmentation. The subject, ‘Significant X‐ray Findings in Some Dermatoses' was chosen for this very reason but quite aside and with apologies to Dylan Thomas I like to call it ‘Adventures in the Skin Trade’.

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