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Acanthosis Nigricans. Presented by Dr. Max Scheer.听
A woman, aged 50, born in Ireland, consulted the medical clinic of Mount Sinai Hospital about three years prior to presentation. She was treated there for anemia. About a year later, an abdominal mass was discovered, and she was transferred to the surgical department, where an operation disclosed a huge tumor mass on the posterior wall of the stomach and enlarged glands in the gastrocolic and gastrohepatic ligaments. A subtotal gastrectomy was performed. The patient was discharged a month later and referred to the skin clinic for pruritus of the vulva, axillae and neck, from which the patient had suffered for eight months.A physical examination on Nov. 21, 1932, showed a woman in fair general health in spite of the carcinoma. On the entire vulva, including the mucous membrane and for 1 inch (2.5 cm.) on either side, extending back to and