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A case of acrokeratoelastoidosis (AKE) is reported. A review of the literature has established that at least three clinicopathological entities have been reported under this term. Two of the entities show a combination of hyperkeratosis with fragmentation of dermal elastic tissue, which justifies the designation AKE. The first, for which the term familial AKE is perhaps appropriate, though many cases have been sporadic, begins in childhood or early adult life, and there is no evidence that trauma or light exposure are factors in its production. The second is a more variable clinical syndrome occurring in middle or late adult life, and both physical trauma and light exposure appear to be concerned in its induction. The third syndrome to be reported under the designation AKE shows no abnormality of elastic tissue and appears to be a separate entity. [ABSTRACT FROM AUTHOR]

Reports that the Willan Library in Great Britain has bought rarer works on dermatology. Acquisition of the works of Ernest Bazin; Purchase of a rare copy of the book "Essay by Prosper Baumés, of Lyon." Profile of dermatologist Prosper Baumés.

The article traces the pathological history of keratoacanthoma, a kind of tumor. According to the author, the lesion had long been recognized by surgeons and by dermatologists, and occasional case reports can be found in the proceedings of nineteenth century clinical meetings. However, the diagnostic label, if there was one, attached to such reports was commonly atypical or self-limiting epithelioma. Past researchers have not defined the clinical and histological features, which differentiate the keratoacanthoma from a squamous epithelioma, convincingly.

The article presents information on the state of dermatological setting in Great Britain during the late nineteenth century. During this period, the skin hospitals in various cities of Great Britain provided service to patients and a training ground for future dermatologists. The country entered the eighties with a small group of individuals of very varied training and experience more or less committed to the study and practice of dermatology. Contributions on dermatological topics were not uncommon in the general medical societies and the general journals, but the need for a specialized journal was becoming increasingly urgent as the specialty expanded.

The article reports on the establishment of dermatological hospitals in London, England, in order to meet the rising demands of the ever rising population of London. In response to this urgent need general dispensaries were established in London and in other large cities from 1770 onwards. Such dispensaries were in effect general medical and surgical outpatient clinics, subsidized by private charity. Many provided home visits for patients too ill to come to the dispensary. Some of them attracted medical staff of high caliber. Dermatology as a specialty did not exist, but surgeons in their routine courses often devoted several lectures to diseases of the skin.

Provides information about the Willan Library in the Willan Room of the Royal College of Physicians in London, England. Founder of the library; Collections on British history of dermatology; Instruction for membership.

Presents a case study about pyoderma gangrenosum. Outbreak of septic lesions on the skin of the patients; Development of ulceration on the leg; Clinical features of the disease.

Discusses different aspects of cutaneous androgen-dependent syndromes. Influences of racial and genetic factors on hair pattern and distribution; Significance of hair distribution pattern of facial, scalp and body personal emotions of individuals from different races; Concerns of many new generation Middle Eastern females regarding hirsutism; Changes in hair pattern as components of the androgen-dependent syndrome in female; Discussion on endocrine mechanisms controlling hair pattern.

Aims to understand the relationship between microorganisms and the diseases with which they appeared to be associated. Observations on the use of the microscope in investigations connected with anatomy, physiology and pathology; Attitudes towards host-parasite relationship; Focus on the pioneers of medical mycology. INSET: Dermatology 1904.

The article provides information the history of dermatological journals in Great Britain. The first medical periodicals were published in the seventeenth century and were adaptations of contemporary news-sheets, ephemeral and of limited circulation, designed to serve political or personal rather than scientific ends. The earliest known to have been published in Britain was "Medidna Curiosa," in 1684. The transactions of learned societies and the general medical journals published from their earliest days many papers on dermatology and what are now other specialties. The "Journal of Cutaneous Medicine and Diseases of the Skin, A Quarterly Record of Dermatological Science," was published by John Churchill and Sons, of London. For about 20 years after the failure of the Journal of Cutaneous Medicine there was no journal of dermatology in Britain. The "British Journal of Dermatology," which was in its first decade, came as a specialist periodical of that time.

Disturbances of hair growth and pigmentation induced by chemical agents are more familiar to the veterinary surgeon than to the dermatologist, but are becoming increasingly common in medical practice. The chemicals found to influence hair growth in man are discussed and their possible mode of action is described. The anticoagulant drugs and the anti-mitotic agents prescribed in neoplastic disease account for most cases of chemical alopecia but many other substances are of actual or potential importance. The chemicals inducing changes in hair colour are briefly discussed. Therapeutic agents and accidentally ingested chemicals should be considered in any unexplained disturbance of the growth or colour of the hair. [ABSTRACT FROM AUTHOR]

A case of proved cutaneous cryptococcosis in an Englishman with no evidence of pulmonary or cerebral infection is reported. The abscess healed after incision without further treatment, and the man remains well after five years. The cutaneous manifestations and diagnosis of eryptococcosis are briefly reviewed, and the British cases tabulated. [ABSTRACT FROM AUTHOR]

Three cases of plant dermatitis are reported, in which the patients were shown to react to only one or a limited number of the horticultural varieties they handled. the mechanisms underlying this phenomenon are described and a short account is given of some of the plants concerned. Others likely to manifest this phenomenon are mentioned. The significance of variety-specific dermatitis is discussed and its practical importance for the patient and the dermatologist is emphasized. [ABSTRACT FROM AUTHOR]

The article presents a discussion on autosensitization to skin. It can be defined as a form of autointoxication derived from changes in the patient's own tissues. The term has found fame and fortune in the thought and writings of dermatologists, and is quite regularly applied as a diagnostic label to the sudden dissemination often without obvious provocation of a primarily circumscribed eczema. In this context, the article reflects on certain postulates that should be fulfilled in relation to know more about certain disorders of the skin, and to suggest which disorders may by analogy be considered as possibly dependent on autoimmune mechanisms.

During a two-year period 40 infections with T. discoides and 37 infections with T. mentagrophytes were encountered in the Cambridge area. T. discoides infections were most prevalent in the winter months but T. mentagrophytes infections showed no seasonal incidence. T. discoides infections were usually contracted from cattle; in T. mentagrophytes infections various animal hosts were suspected, but the source was often difficult to trace. Both infections were common in children under puberty ; males were more often affected than females at all ages. T. discoides occurred particularly during the first 20 years of working life and was uncommon over the age of 40 ; the age incidence of T. mentagrophytes infections after puberty was more evenly distributed. There were no significant and constant clinical differences between the two infections. [ABSTRACT FROM AUTHOR]

A clinical study of 54 bullous eruptions classified as pemphigus or pemphigoid according to histological criteria. Pemphigoid is shown to differ from pemphigus in its clinical features, course, prognosis and response to treatment. [ABSTRACT FROM AUTHOR]

Presents a case study on keratosis pilaris with folliculitis decalvans. Patient history; Results of the histology; Use of antibiotics for the infections.

Presents a case study about Graham-Little syndrome. Appearance of alopecia in the scalp; Desctruction of hair follicles; Application of retinoic acid on the skin lesions.

Presents a case study about lichen myxoedematosus, Crohn's disease and mucinous ovarian carcinoma. Emergence of rashes on the skin; Use of prednisolone to treat Crohn's disease; Total number of diseases of the patient.

This article profiles life and works of William Tilbury Fox, a British dermatologist who had the greatest influence on the early development of tropical dermatology. Tilbury Fox was at first attracted by obstetrics, in which specialty he held the appointment of resident surgeon at the Lambeth Lying-In Hospital. In 1850, he entered general practice in Bayswater and was soon elected physician-accoucheur to the Farringdon Dispensary. A special interest in fungus infections soon led him back to dermatology and he worked as an assistant at University College Hospital. His important book, "Skin Diseases of Parasitic Origin," was published in 1863.

Presents the foreword to the September 2, 1973 issue of the "British Journal of Dermatology."

This article reports that the inaugural meeting of the Eastern Counties Dermatological Society was held on November 18, 1961, in Cambridge. Physician Peter Lachmann read a short paper entitled "The Significance of the L.E. Phenomenon." One case of a boy aged 13, who developed follicular mucinosis, was discussed in the meeting. On examination there was an eruption of light reddish-brown, somewhat gelatinous papules in the central area of the face. They were uniformly about 2 mm in diameter, discrete, but becoming confluent in irregular infiltrated plaques.

The article focuses on the clinical importance of weathering in human hair. The clinical importance of weathering has been greatly increased by the recent popularity of wearing the hair long. With the scanning electron microscope it has been shown that apparently normal hair shafts show a progressive loss of cuticular scale pattern from root to tip. In man it is difficult to differentiate the effect of weathering alone from the combined effect of weathering and trauma inflicted for cosmetic purposes, since even the more uncouth seldom refrain completely from the use of a brush and comb.

Focuses on Urbach-Wiethe disease (UWD). Consideration of the UWD as a rare disease; Transmission of the disease by an autosomal recessive genes; Symptomatology of the disease.

Presents an obituary for dermatologist Theresa Kindler.

Presents a case study on plasma cell gingivitis. Results of the biopsy of the oral mucosa; Lesions on the vulva and lips; Patient history.

Presents a case study about mycosis fungoides with necrotising angiitis. Appearance of rashes on the skin; Histology of the biopsies; Development of poikiloderma after the initial tumor.

This article presents a study of racial and other genetic variations in hair form. Racial differences in hair form are so conspicuous that in the early stages of scientific anthropology most methods of classification depended on hair as the primary race characteristic. Other variables also were examined but no satisfactory method was devised of recording the essential differences in hair form in such a way that they could be subjected to meaningful statistical analysis. A statistical analysis of the data supported the assumption that hair form is a polygenic trait and allowed the interesting conclusion that 'the range of genes in the population pool is limited.

Discusses the clinical significance of abnormal hair-slope patterns. Relative distribution of terminal and vellus hairs; Classification of frontal hair-slope patterns; Evidence of racial variation in the frequency of the various types of frontal hair-slope patterns.

The article comments on the letter of Ervin Epstein on the practice of using editorial consultants by medical journals for accepting or rejecting a contributed article, which was published in the April 1976 issue of the "International Journal of Dermatology." Originally, the consultants were used only to evaluate ultra-scientific articles that the editor and his editorial board could not judge adequately. However, this was soon expanded so that today, all articles, no matter how clinical and straightforward they may be, receive this same consultative service. This has resulted in certain undesirable effects.

The article presents information on the International Society of Tropical Dermatology. The society exists primarily to promote and encourage scientific investigation and to facilitate mutual acquaintance and collaboration between persons of all nationalities concerning the field of all nationalities concerning the field of tropical dermatology. The objects of the International Society of Tropical Dermatology are clearly defined in its Constitution. Tropical dermatology differs from temperate dermatology in no fundamental respect. Both environments share the same essential problems, but climatic factors, and economic and social differences partly dependent upon them, modify the range of pathological agents, their relative frequency and the opportunities for exposure to them.

The occurrence of dermatitis from the plant Alstroemeria is analyzed in relation to altered clinical pattern of dermatitis and probable increasing incidence of the disease. The clinical pattern of dermatitis which is provoked by a sensitizing plant depends on the potency of the sensitizer, the ease with which it is released from the tissues of the plant and the manner in which the plant comes into contact with the skin. As Alstroemeria had continued to increase in popularity as a cut flower among plant breeding establishments, dermatitis on the hands and fingers was reported in florists handling these flowers. It is stated that a change in the use made of the plant might be followed by a change in the pattern of the dermatitis it causes.

This article seeks the importance of using common names over botanical names in order to avoid the risk of publishing irrelevant and misleading information. The sad story of the voluminous and confusing bibliography of plant dermatitis of the last hundred years is now being repeated in the specialized format in which researchers have considered the usage of common names for plants instead of botanical names. At present, some authors use North American colloquial names for plants, which may have entirely different colloquial names in their own countries. In order to avoid the confusion and ambiguity, it has been advised that the simple device of writing the botanical name should be followed by a colloquial name in brackets.

The article presents information on the book "Memoria del Primer Congreso Venezolaino de Dermatologia." It presents information on a series of papers on a wide variety of topics based on dermatology. It includes studies like oxygen as a cause of occupational dermatitis. The reports of 22 cases presented at the clinical meeting illustrates the immense wealth of material in Venezuelan clinics. Many readers in Europe will find the report of the session devoted to American Leish-maniasis particularly valuable.

Shares facts about the William Library at the Royal College of Physicians in London, England. Features of the library; Books contributed to the library; Historical aspects of the institutions.

The article evaluates the thesis titled, "Delusions of Infestation," submitted by Annika Skott, of the University of Göteborg, Sweden. The thesis reports a research project on parasitophobia, carried out at Saint Jörgen Hospital, Göteborg. Under the project, fifty-seven patients met the strict diagnostic criteria, which were imposed upon them. Forty-six of these patients were available for physical and psychiatric clinical assessment. Physical illness, significant in some individuals, was not the sole cause, nor the most important causative factor. Parasitophobia is a symptom of complex and variable origins.

Presents a case study on granuloma annulare in Mauriac's syndrome. History of the patient; Presence of granuloma annulare in the skin; Emergence of granuloma annulare in juvenile diabetes.

Presents a letter to the editor about the Willian Library, which is the property of the British Association of Dermatologists.