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Macular Atrophy. Presented by Dr. J. F. Waugh and Dr. Ruben Nomland.Ìý A woman, aged 22, has an eruption of the skin which appeared first on her face, then on her shoulders and neck, four years previous to examination. The lesions began as small red spots and gradually enlarged to their present size, accompanied at times by slight redness. There have been no subjective or general symptoms. The patient stated that several of the round areas on the arms had fused. The lesions appeared before her first pregnancy and have enlarged slowly but consistently.Examination showed bright red lesions on the right malar prominence, both angles of the jaw and the neck. These varied from 1 to 4 cm. in diameter, and from bright red to a color lighter than the normal color of the skin. Fine cigaret paper wrinkling and gross atrophy were present in all the lesions. On