Congenital Absence of Hair and Mammary Glands with Atrophic Condition of the Skin and its Appendages in a Boy Whose Mother Had Been Almost Wholly Bald from Alopecia Areata from the Age of Six

Abstract

THE subject of this case, a boy, set.3i, presented a very peculiar withered or old-mannish look, all his features being thin and pinched.His fingers were shrivelled, and dusky, and their nails, which also were remarkably thin, were curved backwards so as to present more or less of hollow in the middle.His head was large and the ante- rior fontanelle not quite closed; the scalp was exceedingly thin, and with the exception of a quantity of down, was quite bald.It looked semi-transparent and tight, and the veins coursing in it were everywhere conspicuous.The veins were probably larger than natural.A large trunk came down the forehead on each side of the eye- brow and communicated by a transverse branch at the