J. B., aged 80, came under observation about nine months ago. He is both physically and mentally infirm, the latter preventing me from obtaining any history concerning the duration of the lesions presently to be described. The patient sought medical aid on account of an "itching of the body."
There is great relaxation of the muscular tissues of the body, as is evidenced by the existence of ventral and inguinal herniæ. The patient has also multiple lipomata of the forearms, a pedunculated fibroma on the left thigh and numerous small vascular nævi scattered over the trunk.
The itching of which the patient complained, is the result of a discrete inflammatory papular eruption distributed extensively over the trunk and extremities. This eruption is indistinguishable from an ordinary papular eczema. Upon the inner aspects of the thighs, however, are papules of a deep red color which do not disappear upon pressure and