same reasons we cannot look with favor on the conviction expressed in some quarters that neither the standard of medicine nor the public welfare would be adversely affected if dermatology ceased to exist as a specialty and again became a part of general medicine.I have tried to call to your attention a few of the many ways in which the study of the skin and its functions has been helpful to general medicine and to the other specialties; I have attempted to show that it has won for itself a definite place in the field of medicine, which should be maintained, and that recognition of the problems incident to these relations and co-operation in their study will continue to promote progress, not only in our own field but in all medicine. As Pusey* has •Pusey, W. A.: The field of dermatology. Arch. Dermat. & Syph. 33:987-993, 1936. characteristically attacks the bridge of the nose and the flush areas of the cheeks, the so-called butterfly outline), ears, mucous membranes and scalp. The early lesion is an erythematous, slightly elevated macule covered by adherent grayishbrown scales; it gradually increases to form the discoid plaque, the center of which is depressed and lighter in color. In the absence of scales there are seen patulous follicular orifices, which contain dry, horny epithelial plugs. Involution and cure may occur without trace or scar, either spontaneously or with therapy. More commonly, however, scarring takes place. These scars are superficial, flat, smooth, pliable, slightly depressed and white; their surface is sometimes stippled, and it may even be telangiectatic. On the scalp the scars are more sclerotic than elsewhere and produce alopecia. The course of the disease is chronic, afebrile and benign, in contrast with the disseminate forms, which are acute in onset, and are associated with fever and a multitude of pathologic findings, and which are only too frequently fatal.The findings and opinions hereafter set forth are based on the study and follow-up of 122 consecutive and unselected cases of lupus erythematosus discoides treated at the Massachusetts General Hospital between March, 1930, and December, 1937, together with an estimate of the literature and a comparison with other results. Twenty-six more cases were seen, but are not included because of inadequate follow-up.