When
seen, the upper half of the forehead, the temporal regions, and
the skin between the ear and malar eminence were of a
blackish-brown color, with slight hyperemia of the adjacent
parts; the woman said the color had been almost black, but she
had cleaned her face some. There was evidently much fat in the
secretion; there was also seborrhea of the scalp. Washing with
soap and water had very little effect upon it; but it was removed
with ether, the skin still looking darker and redder than normal.
After a week's treatment with saline purgatives the discoloration
was much less, but the patient still had articular pains, for
which alkalies were prescribed; she did not again attend. Crocker
also quotes the case of a girl of twenty, originally under Mackay
of Brighton. Her affection had lasted a year and was limited to
the left cheek and eyebrow. Six months before the patch appeared
she had a superficial burn which did not leave a distinct scar,
but the surface was slightly granular. The deposit was distinctly
fatty, evidently seborrheic and of a sepia-tint. The girl
suffered from obstinate constipation, the bowels acting only once
a week. The left side flushed more than the right In connection
with this case may be mentioned one by White of Harvard, a case
of unilateral yellow chromidrosis in a man.
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