Abstract

Dr. Miller B. Hutchins often makes the remark that are about as many causes for dermatitis as there are cases. The following case is of interest in that the sufferer pursues a common occupation. CASE REPORT History.— Miss N. M., a stenographer, aged 20, complained of rough finger tips of eight months' duration, which cracked open causing great inconvenience and pain. She had been receiving violet ray treatment three times a week, without improvement. The remainder of the history had no connection with the present condition. Examination.— There was an erythematous scaly dermatitis, with an occasional fissure, which was confined to the palmar surface of the distal phalanges of all the fingers and both thumbs. She had no other skin condition, except a small amount of acne, which was worse during menstruation. Questioning revealed that the dermatitis developed after she began stenographic work. She said that in her work

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