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.