Poikiloderma atrophicans vasculare is such a rare and unfamiliar disease that the report of an additional case seems to be warranted. In the literature eighteen certain cases and four doubtful cases are recorded. The first fourteen cases have been summarized by Lane.1 Four other cases have been reported since, one by Capelli2 in 1922, one by Wertheimer3 in 1922, one by Rasch4 in 1925, and one by Louste, Thibaut and Cailliau5 in 1925. The reports of these four additional cases yield nothing new concerning the etiology, symptomatology or treatment of the disorder. In general, the disease appears to have varying symptoms which have a marked resemblance to healed roentgen-ray dermatitis. It appears to be entirely of unknown etiology. For further descriptions of the condition and the views of the various dermatologists, the reader is again referred to Lane's1 article in which there is an